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CITY OF EVERETT <br />Application and Gas lnstallation Permit <br />All Work to be Done in Accordance with" " <br />City Ordinance . .-- :-(..• <br />Everett, Washington:--:•-(�..�:....ls.?.`....... `., 19�.� <br />Lvcation...-�-�---.. f /..eZ...../�� .. ........... •-----.... . . <br />_ . _ . f. .. ._.. �..+...._ ... .... _. . <br />--.. ... ..... <br />_. <br />Owner ...............l.t�.1.�....4'.....L ----..., . ... . ...... <br />i `�, '�'� <br />{,/� p !f ..-. - <br />Applicant:......:.--.4f .`-�.: �/..� ...................:........................ <br />Rough piping inspection _� _ <br />Pipe in excess of 60' Gas Stoves <br />Gas refrigerators _ Gas water.heaters <br />Gas,space heaters to 70,000 B.T.U. input —_ <br />Gas space heaters over 70,000 B.T.U. input <br />, _ _.___....... <br />Ges furnaces to 400,000 B.T.U. ;nput <br />Gas furnaces over 400,000 B.T.U. input <br />Conversion units to 400,000 B.T.U. input �p___ <br />Conversion units over 400,000 B.T.U. input <br />Small appliances�� <br />...... �---�- r� i�ftj <br />Call Back;lnspection- _ Fee Paid 5—l__._-_,_. <br />__ � _Applicant <br />B� _C.-f3 "_<_L '� `.}-�-�---.-• � � <br />Y� : , <br />plans Approved and Permif g�apted as r,equested lie�ein. <br />.� ` <br />•-�: - .�. <br />_____ � ' � �•' Inspector <br />QY--�� --- <br />PERMIT Ido �rh�� <br />� iv�';.� ,�;!a� ,. <br />`� h g,"4�" #x wi'�x ,. . <br />7r'� e � ��'��h' -- <br />� u� 3 �r 9� t. . <br />..n}�'A �5�1�` �"� l .. <br />� k� J. <br />i �� ;� <br />.N e i : <br />