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CITY Of EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance:lvitli <br /> City Ordinance - <br /> � ' ' , - <br /> Everett, Washington...:..:.. .:....R-�.+,.....�.........�..19ra.:� <br /> .� 73 / <br /> Location........................................... <br /> .............................. <br /> ., _..Q . . c ....__....... <br /> . ,. J�/�j. .... _ <br /> Owner..'._.......rf:...��'�:'+;..�'l,r. �"-k-��r�...r............... <br /> , , �. . . <br /> Applicant--.r-.-�Y.��•{ .. . r:.����... <br /> . .......Y . ....... <br /> Rough piping inspection _LL. _ _ <br /> Pipe in excess of 60' r `�Y Gas Stoves <br /> Gas refrigerators ___ Gas waterheaters_.�_ <br /> Gas space heaters to 70,000 B.T.U. input — <br /> � ,. _ _ <br /> Gas space heaters over 70,000 B.T.U. input —__ <br /> Cas fumaces to 400,000 B T.U. ihput <br /> Gas furnaces over 400,OOO,Bi�U. input __ <br /> Conversion uniTs to 400,000 B.T.U. input �_ <br /> Conversicn units over 400,000 B.T.U. input <br /> Small .appliances_ ..�_._ <br /> i� �_: <br /> ------ ' �..�...�r <br /> Call Backiln,spection ._____ Fee Paid $�_..,�_ <br /> � ,. - . <br /> -.••c ---`--- _._ __.____.__.Applicant <br /> / i., <br /> gy,_ , Q..i'i.c_-�C� 2 � `{ _.__ <br /> . ,. _ , — �-r---- <br /> Plbnsapproved and Permit granted "as rc-quesied Iheteln. <br /> . , C�:�. <br /> — -- — _�_Ly'C'!�—`� — --Insoector <br /> 7 <br /> g1'— — ---1���— ----- <br /> __. <br /> PERMIT N" 3E���;, <br /> .._ . <br /> , ,'�a6 '`"" < < .. ,, �-� <br /> �a � �' ,�-y,�` ;n�l�a,.; <br /> "r} i�'- �,.'��^;a,k.. �.t ' �, nk'' _ � ... , <br /> �`��� <br /> ,1� "�_ti,r *� 5 <br /> ' �� �: - . <br /> t <br /> �,�, , ' <br /> ���� <br /> �r 'k � <br />