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CITY OF EVERETT <br /> Applieafion and Gas Installation Permit <br /> All Work to be Done in Actordance wifh <br /> � , City Ordinance <br /> Everetf, Washingtan........C.:.�� � � L <br /> .... ..zr..........., 19.:,,� <br /> Location.........�,� � g /� �p � <br /> . . .. ..........�:.Q�l�-- <br /> � _ _. •............................... <br /> Owner.. .....,�.�:�.A.-.u,t,,Q,. C}.?cA,d-��4,w� <br /> .... . <br /> .. . . .... ........... <br /> _ . y .. <br /> ! q , , <br /> Applicant.....:.....Y:�..��:..�M..�. . , <br /> .................................. <br /> Ro�„gh piping inspecfion _l� <br /> PipE in gxQeK Qf bp' _ _ Gas Stoves . <br /> Gas �refrig8rators . _____ <br /> Gas wafer heaters___..____. <br /> Gas space heaters to 70,000 B.T.U. input _ __� _ <br /> Gas space heaters cver 70,000 B.T.U, input ___ _ <br /> Gas fUrnac� to 400,000 B.T.U. input _ __ _ _ <br /> Gas fumaces over 4�0,00q � T� inpuf . <br /> � �' -- - <br /> Conversion units to 400,000 B.T.U. input ______ <br /> Conversian units over 400,000 B.T.U, inp�t __ __ _ <br /> Small appliances_.._._.______ <br /> ------. _ ----- � <br /> --t-�_`. <br /> • •--.,.--- -- <br /> Call Back�lnspection .. - _ - _ ._-__�,�_, <br /> Fee Paid $ ,.,'Y`�_�— <br /> . ,..... ._ .____ ' <br /> ___..._--- -- ..._ .A9plicant <br /> Bv.; .,_...._ �.�.,<:_�c .'" 1�� L.l_. . <br /> ;, ir--� - <br /> F�lahs 6pproved and Permit granted as' mquested He�ei�, <br /> ��' ,� ,( <br /> - b;{SYt.�[4t�+}y�+ ,y , <br /> � � Inspector <br /> al' i/� ����,, <br /> PERMIT '�1'.' .t-,,; � <br />