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I <br /> I <br /> CITY OF EVERETT <br /> Applit�fioe and G�s Inatallation Pormif <br /> IAll Work to be Done in Accordance'Wt�h <br /> Y City Ordinance <br /> I' Everetf, Washingfon...:.....!.f..l:�}•1...:�.G'........., 19..i:A:. <br /> � � � 4-ti -�.I'-.._/ <br /> Location.......:.......... /..... .. ..... ..... ........................... <br /> /�t.��''i'F ��ti--�[... T--- <br /> . <br /> ......:�.,,... <br /> Owner....... ..t!�.:......-. .......................... .. .... 1 <br /> ,�' �6-L.,� [.a.�. �>' Q i��...... <br /> Appl icant:.......u!F. ..................... ......�.. ,t'S.f"-. <br /> Rough piping inspection ��"^ - <br /> pipe in excesy of 60;._.--_ --- -Gas Sroves _ - . - <br /> Gas refrigerators ____ _ Gas water heaters__.---- <br /> Gas space heaters to 70,000 B.T.U. input _ _-- <br /> Gas space heaters over 70,000 B T.U. input _�� <br /> Gas fumaces to 400,000 B.7.U. input .._--- -- <br /> Gas fumaces over 40�,OOq ,B�T.IJ. input . _ — <br /> Conversion units ro 400,000 B.T.U. input —._--- - <br /> Conversion units over 400,000 B.T.U. input _ __--_- <br /> Small appliances __- ------- -- ------- ---- - <br /> _ - -----�--- - - _ --- _ -(—/ ;e- <br /> Call Back�lnspection _ ._ Fee Paid $_,i_..-,---- <br /> .�ct�'+�J'�"�' � � ���� -���PPlicant <br /> By ��,��� _ f�tg � - .__ _.._.. ... �r----- <br /> +Y^ <br /> Plani Ap�roved and Permit ranted as requested iherein. <br /> -� � <br /> ('.'�_��a�^�t.� ��Li' Inspector <br /> ' ! `_. <br /> BY r� 1.� ' __ <br /> PERMIT *;': �;` ,.� <br />