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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> , , <br /> '.. � <br /> Everett, Washington....�..�- '�•�/ � , 19.�:.:... <br /> . ............. .............. <br /> Location..........�...L.... �- �� �''Yl�/......... <br /> , <br /> .:................ ... <br /> ...... .......... <br /> � <br /> Owner.........:y!�:."a.'..". ..�:!!'�:.....•.e�.. �as��..'...- <br /> .... ........... .... <br /> f;.. �i <br /> , � ' � . [ <br /> ApplicanL........l.i�'�:Y:��.'!rL..�...........).:.,.�:V..:✓. _. ... <br /> Rough piping inspection _ _-_..- _ <br /> Pipe in excess of d0' _. � _ ._ Ges 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 F3.T.U. input . _ <br /> Gas furnaces to 400,000 B.T.U. input _ _ - - _ <br /> Gas furnar.es over 400,000 BrT.U. input <br /> Conversion units to 400,000 B.T.U. input _ _ <br /> Convcrsion units over A00,000 B.T.U. input <br /> Small appiiances _ _ - _. _ _ ___ . . - <br /> ��._��:� _ _ _'��__ <br /> Call Back'Inspection _ Fee Paid 5 . -�. <br /> , ..,_.. - - _ _. . Applicant <br /> st- 1 �/ <br /> By.. .. ' i „ ' 1`:_ L ad _'�.. 7 . . <br /> P!ans Appreved and Pcrrt4t qrdnted as requcsted 'hercin. <br /> // � <br /> �s,`�y!(fl�!'��ti'�.I• Inspecfor <br /> , <br /> 8), %�,_: �' .. ._ <br /> PERMIT *": ''�" ' <br />