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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance'with� " <br /> City Ordinance - <br /> Everett, Washington---:.Y:.Yi.....1�................. 196:r <br /> Location...............�?�.�...��.�......�.............---�----- <br /> Owner..._-......,...�1���1.-�.�.�7D.'.`!!'fi.�-,T��•--�-/•��}..�.. .. ._. <br /> -� . � .. p � Y - i-: �1-�� c......--'---..... <br /> . .. . f ... .. . . <br /> ApplicanT._:...........4.:1.1.M.,J!:. :...........:.............:............. <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 /> ..� I�. .' . . <br /> Gas spacc heaters over 70,000 B.T.U. input <br /> Gas fumace4 to 400,000 B.T.U. input <br /> Gas fumaces over 400,Op0,B.T.U, input �/ <br /> Conversion units to 400,000 B.T.U. input h <br /> Conversion units over e00,000 B.T.U. input _ <br /> Small, appliances_. -t-5— <br /> . _ �,.�—��.�-------rr-"_' <br /> ; re• <br /> Call Backllnspecfion _��._ Fee.Paid $��,- <br /> � �� . <br /> r-"-�-- --�.�.--- --APRlicant <br /> @yw"��, �-{``e �'' _L.'��L`�----_,�w_�_. <br /> plah5'�pproved and Perm4t.geanted as_rcqvested!Ii�Fdin <br /> ..-,. t � <br /> --- r�:�s'! r_;;,�;u� _ _ _Inspector <br /> er —G1 _ /�1- -- <br /> PERM!T N° 35(19 <br /> . <br /> I <br /> F <br /> I <br /> . J <br />