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CITY OF EVERETT <br /> Application and Gas Installafion Permit <br /> All Work to be Done in Accordance wffh <br /> City Ordinancc <br /> • i <br /> Everett, Wa'shington..........'��:' �....A�......, 19.�2..R <br /> Location............../...(�.Q..D....��:.ste.s�:�...... �.�./.. <br /> Owner................wfY:.....(�...t��l�?:.:^--......__. <br /> �, y� <br /> Applicant..................... :�r'��!.�.w......:--.:................. <br /> Rough piping inspection _ _� _ <br /> Pipe in excess of 60' _ __ -_ Gas Stoves _ . <br /> Gas refrigerators _ _____. _ Gas water heaters ..._.. .___ <br /> Gas space he�ters to 70,000 B.T.U. input _ <br /> Gas space hcaters over 70,000 B.T.U. ihpuf :� - <br /> Gas (umaces to 400,000 B.T.U. ihput _ _ -_—._ <br /> Gas furnaces over 400,OOO.B T.U. �nput . _.. <br /> � .i.i� �, f.-�.�� i <br /> Conversion units to 400,000 R.T.U. input _ _ __ <br /> Conversion units over 400,000 B.T.U. input . _ _ - <br /> Small apoliances------------------- ----------------- <br /> `, � <br /> . . . _ ._._.__.:-'_'.-"____�______"'__ ��tr_ <br /> Call 6ack�lnspection .- ____.____ Fe.� Paid $_�_,�___ <br /> . ..._. ---------...---�---T--_....---- --- - � ---- .`-APPlicant <br /> �°-�. � '� / ' `'>.� <br /> By.. ___ _ - -- -- -�`= - -' --- -/- — ._� _— - <br /> plans dpproved and Permit grahted-As �equested Nerein. <br /> �/� '1 ;) • <br /> _ . .. ��i._'!�+�!!'�f,�� Inspector <br /> E3y . - L��� ��� _ -. . <br /> P�RMIT ��'' ''" � <br />