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CITY OF FVERETT <br /> ApplicaFion and Gas Installation Permit <br /> All Work to be Drne in Accordance wilh <br /> City Ordinance <br /> Everett, Washingt�/n...........��!'�(,__ , /h <br /> Location..� .�0/1. � � ' .�/...._. ., 19�?.I.... <br /> t..nr-��f R�. <br /> .,�,r ,.....�............................. . <br /> ..................... <br /> Owner.......:WAl't...� � 'u,... <br /> y� �/� � __..... <br /> .��•.�.'�. ................. <br /> Applicanf�:i!"�4.�i:....�r�?.{��.::..�Lia� :°a. <br /> - r......... ................. <br /> Rough piping inspeclion _ _ � . _ <br /> Pipe in crcess of 60' . _ __,_ Gas Stoves . <br /> Gas refrigerators - . . _ _ Gas water heafers__�_____ <br /> Gas spacc heaters to 70,000 B.T.U. input _ _ � <br /> Gas spate healers over 70,000 D.T.U. input _ <br /> Gas furnaces to'400,000 B.T.U. input ____ <br /> Gas furnates over 400,000 8.1'.U. inpuf _ __ ___ <br /> Cornersion uniis to 400,000 B.T.0 input ___ <br /> Corncrsion units over 400,000 D.T.U. input _ ___ <br /> Small appliances--.--.__.---_----___ — -_- -- <br /> ------ ------ - - -- <br /> _ -/-.� <br /> r� J�� <br /> Call �ackinspection . ____._. . Fee Paid $. .____ ____ <br /> _._ �It.�' �� C�p� <br /> -- <br /> . .Applica�t <br /> (� � � � 1p <br /> 13y.. _.,_._..�-1�.l.y�, _ `�7�_- -- - <br /> !'lans approved and Permit granted ds requcsled hercin. <br /> �Q <br /> �""_��-��• ----� Inspector <br /> !i� <br /> PERMIT \:' 1 ,7� <br />