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CITY OF EVERETT <br /> Applicalion and Gas Installation Pennit <br /> All Work to be Done in Accorda�ice wifh <br /> Ciry Ordinance <br /> � _ <br /> Everett,. Washington....... ......�.z....................., 19'�.T.. <br /> ` /C :�, <br /> I 7/.G..........�`��<<.,�............................. <br /> Lo c a t i o n... ....... .. <br /> Owner........�clrt=t!z��....4.......r��-S.�Zeccw.............. <br /> � .,,, . _ <br /> Applicant....�...�.�................................................. <br /> Rough piping inspection __a -. -- - <br /> Pipe in excess of LO' _ _ _ Gas Stoves _ ___- <br /> Gas refri�erators ___--__- ,G�s water heaters_�_— <br /> Gas space heaters to 70,000 B.T.U. input _ __ - - -- <br /> Gas spacc heaters over 70,000 D.T.U. input _ _--- <br /> (�,as futnaces to 400,OU0 B.T.U. input _.__--- <br /> Gas furnaces over 4DO,GQ�..B,T.U. input __-- --- <br /> Conversior units to 400,U00 B.T.U. input - - - <br /> Conversion units ovcr 40U,000 B.T.U. input __ _ - <br /> Small, appliances__--_------------- - <br /> , <br /> - �--,----------------�,-��--- <br /> Call Back�ln.s�pection ..._____--.- Fee Paid $--, _-,--,- <br /> . _,..,. �-- <br /> ------ ---- -APPlicant <br /> � . - <br /> , ������ � �� `� �� <br /> oY.. _�_,_._L� — - ----- - ----- ��---- <br /> PIaN4'lpdreved and Permit granted as requested Kerein <br /> 11;:.SE:J-1�:� �_��"�1. _ .. Inspedor <br /> - i 7�0�_ <br /> � <br /> Cry <br /> y. . �� . �, C l 2�-� �- ---- . _ . <br /> PERMIT �'•' ����� <br />