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. <br /> CITY OF EVERETT <br /> Application and Gas Insfallation Permit <br /> All �Nork to bc Done in Accordance'wifh � <br /> City Ordinance <br /> �, , .. :� . <br /> Everett, Washington.......��:..�r.�.....�.,�..........., 19 6� <br /> .� , a � <br /> Location.........d:.si..�.Y.....�.;f�-.......................... <br /> p , <br /> _., <br /> Owner..............L.:�/x:1�:.^...���:k�.....r.":::.'...��.:�S..:e................ <br /> Applicant..f.�.....:.�..�.Y..�L.............�..1..................... <br /> Rough piping inspecfion _ _�� _. _ <br /> Pipe in excess of 60' _ _ _ _ Gas Sroves . . _ __ <br /> Gac refrtgeratore ___._ __ _ Gas water heaters.`__ <br /> Gas_space heaters to 70,000 B.T.U. input _ _ _X__ <br /> p _ _ <br /> Gas space heaters over 70,000 B,T.U. input _ _.__ <br /> Gas furnaces to 400,000 B.7.U. ihput ____ _ _ ._ <br /> Gas furnaces over 4pOrOpO�B;T,.U. input _ <br /> Conversion units to 400,000 B.T.U. inpuf _—___ <br /> Conversion units over 400,000 B.T.U. input _ __ <br /> Small appliances___._- ._______._...._________.�_„� <br /> , i . � <br /> Call Back Ins ection _ _ Fee Paid $_..��_,—.��� <br /> P '� . i'w'' I <br /> , . . _ _ ___ ---__...____-_ ---- ` - _ _Appli[ant I <br /> � <br /> By . ,.w _ <; 1�•� i.�.� --ll-x-�-� . <br /> -_ __ ,� .- - <br /> plans appreved and Peimit granted as �equeEfed 'herein'. <br /> / . <br /> - . 1XlH:�ilH�•1�. G�'Sk!L' Inspector <br /> �y LL �J7{ <br /> PERMIi '�T" :��,��� <br />