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CITY OF EVERETT <br /> Application and Gas Insfallafion Permif <br /> All Work to be Dcnc in Actordance wfth <br /> City Ordinance <br /> Everett, Washington........�.=4w...'2.�'........., 19�... <br /> Location.........���.�0.....�'�+.!:4-`.'°-!.`�............... <br /> Owner.........�-f:<I�:�:Rfi.r.....��:��.�.-P�a�l................ <br /> Appl ic�`dnt.......-L.l...�....L......L..c7................................. <br /> Rough piping inspection _ . X . <br /> Pipe in excess of�60' . ___- Gas Stoves _ _.— <br /> Gas refrigerators . �._... .._ iGas water heaters __._..._... <br /> Gas space heaters to 70,000 B.T.U. input �_ -_ <br /> Cas spacc heaters over 70,000 B.T.U. input <br /> G�as fumaces to 400,000 B.T.U. input _ _ _ -- <br /> Gas turnaces over 4QO�Q00 B.T.U, input _— <br /> Conversion units to 400,OOU B.T.U. input —.__ <br /> Conversion units ovcr 400,000 B.T.U. input — <br /> Small appliances.------__.--- --_.-- -. __...- -- ---,_�.. <br /> _ _ .,..__._�- _ _ _ . -- _--/`---n--�-_. <br /> Call Back'Inspection _ Fee Paid $_._Z_ .�,...; <br /> �Y..� --.._..... ....— - -` _ Applicant <br /> , . _ e�� .(��'' /y � <br /> �- � <br /> _ _. ._ _ , .,._ <br /> FlariS approved and Permil granfed as requested herein. <br /> � <br /> p Q1i�.�. <br /> !r:�Y'_'L-!�'�/_ _.. _. _ Inspector �.. <br /> LY ��,�� / <br /> PERMIT �:' 1�77 <br />� <br />