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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> !UI Work to be Donc in Accordancc wlfh <br /> Gty Ordinance <br /> I' � . . 7 <br /> Everett, Washington.........w.S 5.....P..... 1 .. . .., 19.�? (. <br /> i <br /> ... ,li +; � <br /> . ., ' <br /> Loca t ion. ..�_:?.S 3....:_ -!'-4-x�:�....:.�::�1............... <br /> /T � � p � /,+ rt_ <br /> Owncr.l.I'.??:n�.�rt!Y�-04:S.��.r.:X!:�.`.�::.C'sE,v�..44� <br /> ,� . <br /> )) � ' �: <br /> /�pplicant..:........L•1...�ix�. .ic�..__.. ... .. .. _ __ _ ._ <br /> Raugh piping inspedion <br /> Pipe in exress oi,60' _ __ Gas Stoves �( <br /> Gas refrigerators . - ,Gas waMr heaters _L_\. _. <br /> Gas spar,c heatcrs to 70,000 B.T.U. input <br /> Cas space heaters over 70,000 B.T.U. inpuT <br /> Gas tumaces to 400,U00 D.''.U. �nput _ _ _ <br /> i;as furnaces over 400�000 B.T.U. input <br /> Ccnversion units to 400,000 B.T.U. input __ ___ <br /> Conversion units ov�r 400,000 B.T.U. inpul _ _ _ <br /> Sm�ll appliances <br /> �all �ack'Inspect � --- -- --- - - _. - - -c�--- <br /> ion - _.---__ _ Fee Paid $-f_'_. .- <br /> '�/� � �o _ Applicant <br /> uy.. _1�-P��t.-!�,: �� __.. . _ <br /> Pisns approved and Pcrmil granted as req��csted hercin <br /> •_� ! � ;, <br /> � • f L�'.�_�� :._ Mspectur <br /> -� �r ' - <br /> , �j %��. <br /> PERMIT `: ".' i ��:; l <br /> ,z. <br />