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CITY OF EVERETT <br /> Applieation and Gas Installation Permit <br /> All Work to be Done in Accordance wifh <br /> City Ordinance, � <br /> Everett, Washington.............L�.:...,�.`.i...., 19�..�0.. <br /> Location...+�..I.'�..�.�......lJ�-a1:!�!�..................................... <br /> Owner...... ... . ........._ r <br /> .... ...... . . <br /> �q ... ...... ................ ...... <br /> Applicaritj� . ..... .. ... ....!�''µ....�'Q.^^.^.m�1................. <br /> Rough piping inspection __ __ __ _ <br /> Pipe in excess of 60' _ _� __ Gas Stoves _ ____ <br /> Gas refrigerator's __ _ . Gas water heaters_..�___ <br /> Gas space heaters to 70,000 B.T.U. input - _ ._ __ . <br /> Gas spacc heaters over 70,000 B.T.U. input ______ <br /> Cas furnaces to 400,000 8.7.U. input _ 'L___ ___ <br /> Gas (umaces over 4PO,OpO 6.T.U. input .___ _ <br /> Conversion units to 400,000 B.T.U, input <br /> Conversion units over 400,000 B.T.U. input _ _ ___ <br /> Small appliances_ __.. �_ ___ ,____. <br /> 7/b ; -.____ - - <br /> _. , �;�-.,- <br /> Call Back lnspectio Fee Paid $ - _ �r,—.... <br /> ._. . � A Applicanf <br /> Bytl i'v..- .. .. .`�4 �7.�� , . <br /> Fltins 5pproved and Permit granted as rcqucsted 'Herein. <br /> - .- - . ;�+✓,'i`J^.`_'f�'�.i�,.` Inspecfor <br /> DY _ _ _ _ _ <br /> PERMIT �r�� � � �� � <br />