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CITY OF EVERETT <br /> . Application and Gas Installation Permit <br /> All Work to be Done in Acwrdance'w14h <br /> City Ordinance <br /> Evereit, Washington......... . ...�.,.�.�L......., 19.�.�. <br /> ..... <br /> � , .y y� . ,,, ., . <br /> Location...�C 9./l. �V.....�.F�-�l.{:................................ <br /> � �. � • Y ' � i`� `���/� A W'�+. <br /> O�ner:.....1�.......:........... ..._ ..... .... <br /> ...... ........... <br /> . �........L . R <br /> . . � • 'J � .J� r- <br /> Appl ic�nt..;....�.e....__,...4.1....:.�'..:.gt`.....::................ ... <br /> Rough piping inspection _�-- <br /> Pipe in excen oft60' �:;+.�u.-=--- Gas Stoves ____.--- <br /> Gas refrigerators _- ---,---- ,Gas water heaters_�-_- <br /> Gas space heaters to 70,000 B.T.U. :nput ___ �-_--- <br /> �as s ace heaters over 70,000 <br /> P [3.T.U. input -__-_. _ <br /> f,as iumace9,.to 4f�10,000 B.T.U�. input -_------ - <br /> Gas fumaces over 4�P��1p�.�B,T�U, input _.--._--- <br /> Ccnversion units ro 400,000 B.T.U. input - -- - <br /> Conversion units over 400,000 B.T.U. input _ ___ - . <br /> Small appliances.-__-__------------------• <br /> \� . <br /> -- ----- --�'�'-- <br /> . _ r-;v""^'r-,--— - - <br /> Call Ba`c�k!Ir�spedion .. - -- _ Fee Pflid $�� ,_.;.r.,;- <br /> 1��A Jd u �`�_'�----1-1'+pp�licant <br /> - <br /> . �...i� �1 � — , <br /> Qy.. _�,�1�1.IV�K.----�-�-�---- -----------__�_.._--- <br /> Plans'approv d and Pett{�Ix,grarrted as requested he1�i�. <br /> / <br /> _ !__. y_�__� _ Inspector <br /> �Y - __ _ _ _ <br /> PERMIT N:' �h7� <br />