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CITY OF EVERETT^t�� <br /> Applicafion and Gas Installation Permit <br /> All Work to be Done in Acwrdance iwi4h <br /> City Ordinance <br /> Everett, Washington........`,�!�-�...7........, 196.b. <br /> / --- • <br /> Location......... . ...1�l.p.......�,���..y. <br /> Owner......�.....�.-. �,.::V.�:.�,. ....... <br /> g.c� � ��-.f�:�.,�,�_ <br /> Appl icant..:,...'....Z:�::.14'7?.4..r.'.�-!�-.�...... <br /> Rough piping inspection _.1�_ _ <br /> Pipe in excess ot�60' _____;,..� Gas Stoves ____ <br /> Gas refrigeretors _______ .Gas water heaters� <br /> , � <br />' Gas space heaters to 70,000 B.T.U. input ___� <br /> Cas space heaters over 70,000 B.T.U. input _____ <br /> Gas fuinaces tb. 400,000 B.7:U. input _______ <br /> Gas furnaces over 400 U in ut _ <br /> ,.� rQ�����Tr,�; P <br /> Conversion unifs to 400,000 B.T.U. input __ <br /> Conversion units over 400,000 B.T.U. input _______ <br /> Small appliances_.___._.____ <br /> ` c � � ' <br /> --•--,�_r--r--- T"_ <br /> Call Back%Inspection _ .________ Fee Paid $_L.2___- <br /> . . �. . , r�.�^-..r- <br /> "' — -APR,licant <br /> �K,, .-���-'`_�-��_�3_��.-- <br /> Plalis dpdroved and Per�pit grarfed as requested hGrei�. <br /> / <br /> ��i1. __ . Inspector <br /> Br - _ /� "%/� _ -- <br /> PERMIi N:' 42i►7 <br />