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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in Accordance with <br /> City Ordinance <br /> , > / <br /> Everett, Washingron...._....4.�-�J .�.t�...e�...+?...., 19p..T <br /> Location....._.�1�'.�.�.....4-�r�� ^�� <br /> .......... <br /> . . . , . <br /> /��, /� <br /> Owner...--... . ......?.:�. � �.... �j'`�:st.a....�.._ <br /> !Y`wn G� k�:;l <br /> Applicant�.�'�rl^l"±'.^.:.^•:...�:!4?�-..V....::..._....................... <br /> Rough piping inspection _.�_ <br /> Pipe in excess of 60'�_�-. -_ Gas Stoves �- <br /> Gas reftigerators _ Gas water heaters .�_ ..- . <br /> Gas space heaters to 70,000 B.T.U. input -�- <br /> Gas space heaters over 70,C00 D.T.U. input _ _ <br /> Gas fumaces' to 400,000 BJ'.U. input ._ . - - - <br /> Gas furnaces over 400,000 ,B,T.4. input __ _ - <br /> Conversion units to 400,000 B.T.U. input ___—_ <br /> Conversion units over 400,000 B.T.U. input _ — _- _ <br /> Small aPPlia�ces - -- -- ---. _ ..-- ---_.+-___ — _.. <br /> � : <br /> ._�._...�__ _ _ . _..---;*---`- <br /> _ � ��v' <br /> Call Back�lnspection _ Fee Paid $ _�,�.«•- <br /> _ � , <br /> Applitant <br /> ._._. - - �--^ , . <br /> By.. , ,_ �--�'�`�- . <br /> plans appro� :d and Pcrml Igranted as c2quested herMn. <br /> �_, . <br /> ��1lt�Y,��i}."�!":� Inspector <br /> 7 <br /> ey .� . �>> , <br /> PERMIT N° 3�;+i�► <br />