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CITY OF EVERETT <br /> Applieafion and Gas Installation Permit <br /> AIl Work to be Done in Accordanceiwffh <br /> City Ordinance <br /> : ,i <br /> Everett, Washington..........��Pv� /s' .' ��� <br /> 9 •/.�............�. ..... 19...... <br /> Location..�....�-�.a�'�..0.....�d.�P.K:�!c�1.J.........!............. <br /> Owne r.......5�'�..��.......1 C."5�:�.'LYS::v...1.................... <br /> c ��j. <br /> Applic`anf...:....... .�./!.J1#.....�:.:.�.l�...!.....\'...:....:�........... <br /> Rough pipi�,g in;pection _ .. . _ _ <br /> Pipe in excess bf 60' . ._ ._�- _ Gas Stoves _ ____ <br /> � y <br /> Gas fefrigeratoYs __....�_ .._ ,Gas water heaters.II__ <br /> Gas space heaters to 70,000 B.T.U. input - __ .___ <br /> Cas space heaters over 70,000 B.T.U. input - - _._ <br /> Gas fumacet to 400,000 f3.T.U. input __ ____ <br /> Gas turnaces over 400,�OQ. �.T.IJ• inpuf - ___ <br /> Conversion units to 400,000 B.T.U. input _ _ __ <br /> Cornersion units ovcr 400,000 D.T.U. input _ <br /> Small appliances ___.______.___ <br /> - •--•--•---------- --- _ _— <br /> ��-- <br /> Call Dack�inspection _____.___._ Fee Paid $____.._...,_.__ <br /> . ..._.--------------/-- - -- -_Apnli[ant <br /> 3K. �1t_�- - <br /> ' R^ � �� _ �3 (� <br /> PIsHs ap{iroved and Per ' •granted ps requested her@in <br /> L���/,/,�"� i <br /> `rfla['� d.'Y��C1:� . Inspecfor <br /> �>� •t;� J�. <br /> PERMIT N:' 122i1 <br />