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CITY OF EVERETT <br /> Application and Gas Insfallation Permif <br /> All Work to be Done in Accordance wlth <br /> City Ordinance <br /> i <br /> Everett, Washin9ton........ ....���n...�........., n1�.� <br /> Location.........�.��..�......�.�F:�`���""'�'�"^..... <br /> �, �.� � y�.� <br /> ........ ........... ......... .. <br /> .... ..... .. <br /> oW���............... .. <br /> _ , � �,.�.�...". <br /> Applicant...:.......;•--- -_..........:............_... <br /> Rough piping inspection _!'--� - <br /> Pipe in excess of 60' _ _ _ _ Gas Stoves . - <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 furnaces to 400,000 B.T.U. input - _ _- --- <br /> Gas furnaces over 400,000 B.T.U. input _ - - - <br /> Conversion units to 400,000 B.T.U. input ---- <br /> Conversion units over 400,000 B.T.U. input . _ - - <br /> Small appliances___---- <br /> — _ - --- ------ <br /> �, . <br /> - l <br /> _ ._ _..-'-�..._-�..--------- . <br /> W <br /> Call [�ack�lnspection __..-__--- Fee Paid S_.�-_ -- <br /> _.._------� -- -------- - - --- <br /> _ ._._ __.Applicant <br /> ay.. __.__T.�=`''Q � // j Z-.�- - -- <br /> - --- <br /> Plens epproved and Permit gran�d as reyuested Ne�ein. <br /> `����f_�_�_,_ Inspector <br /> �i�?fx <br /> py _ -- <br /> PERMIT ''�" '"' `��% <br />� <br /> . <br />