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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Actordante wi4h � <br /> City Ordinance <br /> �n� , <br /> . <br /> ' - - <br /> Everett, Washington.......:".:...`.,�.'..:......1.--.---•--, 19_4:�. <br /> Location.�.^.�.v�.` ..::.'t.d:!:?:.?..'.:'.•e�.� <br /> . ' � <br /> ` . -lt"; , . , <br /> Owner.....�..'�.�.tt......1't.::�:t.::. :..:.:....'.-':.�.................... <br /> J.7 <br /> ApplicanL...........�..!h:::_Y....:� ...:...................................... <br /> Rough piping inspection _L '--_ <br /> Pipe in excess of 60' _ _ Gas Stoves _ _ _�[ <br /> Gas refrigeratore _..______.. ,Gas water heaters_l� <br /> Gas space heaters to 70,000 D.T.U. inpuf _ <br /> Cas space healers over 70,000 B.T.U. input _ _._ ___ <br /> Gas fumaceS to A00,000 B.7.U, input __ ___.__ <br /> Gas furnates over 400,000 B�T.l�1. input _ <br /> Ccnvcrsion unifs to 400,000 B.T.U. input ___�— <br /> Conversi^• unifs ovcr 400,000 B.T.U. input _ __.__ <br /> Small appliances___._ __._.______� <br /> �all [3ack;lnspection .� _ _ FeePaid $��� <br /> I T � <br /> . _.._--- ------- -APPlicant <br /> , f <br /> ,o - .`t ` <br /> c_ c_ <br /> Qy.. ._....� -- - - --- ------ -�-�----- �-- <br /> , > <br /> Plal�y approved and Pcrmit granled as requested herein. <br /> - --'t�:�L'��-'._!i.` �55�..t� _ Inspector <br /> L'y / _ _ <br /> PERMIT �'�:' �l<<12 <br /> . <br /> � <br />