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CITY OF EVERETT <br /> Applicafion and Gas Installation Permit <br /> All Work to be Done in Accordance wifh <br /> City Ordinance <br /> Everett, Washington.........�.....}1........., 19�0.4.. <br /> Locahon.._....�.7..P.?.�....�`..^..:��............... <br /> Owner..........�1:. ,Q�•!�!44.l.!.!�..,f..y`.^`:...... ... ,F/v <br /> q ,�d �-j) <br /> ApplitanL........u��.•�!1.'.?.-i....4k4�::....S.J. .........:..._... <br /> Rough piping inspeciion _ _ .. . <br /> Pipe in excess of 60' _ . _ Gas Stoves - _ _ <br /> Gas refrigerarors Gas water heaters._�_.. <br /> Gas :pace heaters to 70,000 B.T.U. input <br /> Gas spare heaters over 70,000 B.T.U. input - <br /> Gas turnaces to 400,000 B.T.U. input . -_ _ __ - <br /> Gas fumaces over 400�000 B.T.U, input _ _ _ <br /> Conversion units To 400,OG0 B.T.U. input —___ <br /> Conversion units over 400,000 B.T.U. input - _ <br /> Small appliances ----.__ _--- ---..-- --- ------ - <br /> - �------•---_ _ _ - - — - ---- <br /> Call Oacl.'inspectiun _ _ _ Fee Paid $_�._ .�.'__ <br /> . ..... . - . - <br /> .- — - -. -- ' -- - - - - . Applitant <br /> C ` ,.,�. a- i s-9 � <br /> BY.. _._.�. - - - - -- - � - -� � <br /> Plans appioved and Permit grented as rcqucsted 'heiein. <br /> �3^� '�.`�'�!':a� _ - Inspector <br /> l3Y �/ ��'•_ <br /> PENMIT '-'' 't` ` <br />