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CITY OF EVERETT <br />Application and Gas Insfallation Permit <br />All Work to be Done in Accon;ance with <br />City Ordinance <br />Everett. Washington..........�...�P .............. 19..b �• <br />Location...........I �..'.�. �......[.��-.4'.P ...� �...�...�......�., <br />' __} . . / �' "_ F.......... <br />Owner ................. ��(. C!. � �: `......��c'dr.�...w/'��� �' <br />. � �l/ �. <br />Applicant...........��:t��-?� :1:'..:�t........'.L..�(�`.:`�l.......... <br />� <br />Rough piping inspettion ____ _ <br />Pipc in excess nf 60' ____ __ Gas Stoves v—_ <br />Gas refrignrerors _- Gas water heaters..A� <br />Gas space heaters to 70,000 O.T.U. input -- ____ <br />Gas space heaters over 70,000 B.T.U. input <br />Gas fumaces to 400,OOC B.T.U. input ___ ___— , <br />Gas furnaces over A00,000 B,T,.U. input ._ <br />Conversion units to 400,000 B.T,U. input _ <br />Conversion units over 400,000 B.T.U. input ._.—_ <br />Small appliances _. _._------._..._-----"_... <br />. ."'....,."_ _ . _ .. ....'_"r--�r <br />� � �i <br />Call Back�lnspection Pee I•a�d 5. -. 4.__�_ <br />...._. . - - ,{ [r . ?._- - - - P`PPlicant <br />By.. ..,.. .. lr nE t,�i.. �,b7-.�..�_!y. � .., . _ . . . <br />F!ans approved and Permit gronfed as requested'herein. <br />Gy�/ <br />��(i`k�. �'!'1�'i'�'i' Inspec�o� <br />i <br />t�y ;%( )� �- <br />PERMIT ":" �'�' �� <br />