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C�TY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance wi}K' <br />City Ordinance <br />__ ._ ___ <br />Everett, Was� g�n ............. , <br />��...:..3..........., �s��.. <br />Location..�.SiS.......1•':'!n'�/�.urw.y ......._. <br />}'� . ' r (. <br />/V � � .( . .. ._._.. <br />Owner ........ .. ... . �.iL!'.'�!. ''ee+aw+�.. <br />� . ... <br />...... ...... <br />Applic�ant:.��.. .� . G:�: _ " <br />�. <br />........:M----.... ....................:....... <br />Rough piping i,�spection <br />Pipe in excess of 60' _�__ Gas Stoves ----��-- <br />Gas refrigerators __ _.____ ,Gas water heatera. <br />Gas space heaters to 70,OOO,B.T.U. input <br />, _ ._. . __......... <br />Gas space heaters over 70,OOb B.T.U, input <br />Gas furnaces to 400,000 B.T.U. input ���� ��� <br />Gas furnaces over 4p0 0. B T,ll, input <br />,, �PP,� �. � ��, <br />Conversion units to 400,000 B.T.U, input <br />Conversion units over 400,000 B.,T�.U. input <br />Small appliances_�______��.[..id�,L ' <br />�: <br />. �— _� � _ -.�-----�f�;r,z <br />Cali Back I spectionL' __ _ Fee Paid$!� <br />l.� -/�! �,( /� G^�--" <br />-/II <br />�T._ � V".0' PPlicant <br />CYli�i�'1'_ U -- -`--3 �._�7�— <br />P�aH�'2pproved-and Permit granted es requested hprein: <br />L�/1 � � <br />— '���`�f¢� ��Q�ti Inspector <br />er.____ _— <br />PERMIT i�'� �685 <br />