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CITY OF EVERETT <br /> Applicafion and Gas Installation Per�nit <br /> All Work to be Done in Accordante wifh <br /> Ciry Ordinance <br /> Everett, Washington:.....././.4,t1�1„C�...�..J , 19.f7.� <br /> ..... <br /> Location.......a`�.3.�..6.....�,,� :�� <br /> �67� ,f., . ............... <br /> Owne r..........�../.K.....•'^'..'.'.."'.".�Rr <br /> ............................... <br /> A li'� � �� (1� � <br /> PP canf...........5..`.:.... �...r......f-•^•r".�-:�?.'.Y.............. <br /> � <br /> Rough piping inspe[tion _ _ _ _ <br /> Pipe in excess of 60' _ Gas Stoves . _ _ __ <br /> Ga;.refriperators __ - , Gas wafer hr.aters.......__._ <br /> Gas space heaters to 70,000 B.T.U. input . _ X_ _ _ <br /> Gas space heaters over 70,000 B.T.U. input _ _ ____ <br /> Gas fumaces to 400,000 B.T.U. input _ _. __ _ __ <br /> Gas fumaces over 4p0,000 B.T.U. input _ _ .__ <br /> Conversion units to 400,000 B.T.U. inpul __ __ <br /> Conversion unifs over 400,000 B.T.U. input _ __ <br /> Small appliancea_ _.... ___ ._ ___ <br /> _ __ ._.�.�..,�- - - - -- _ _ - ----------�.�•.-, i <br /> Call Back!Inspecfion _ _ Pee Paid $ ..f_ od <br /> i. <br /> . �.. ,,. „ ... ._ .. _ - - ..Applicanf <br /> r - - , _ <br /> B , x � �.s��_��a..�_�.3 ... ..---� - <br /> plan� d'pproved and Permit granted as requested i�rcin. <br /> - - .`""=t�y�,��i'=! Inspector <br />� �Y V1-� °�� <br /> PERMIT ';" �� �� <br />� <br />