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CITY OF EVER�TT <br />Application and Gas Installation Permi# <br />All Work to be Done in Accordance 'with' ' <br />City Ordinance- <br />,r• > . , c_.� , <br />-- �, c�� <br />Everett, Washington.,,......�r.rij,i:�...J ................ 19..._�. <br />Location.........���'..S'�..�.�,`..c�� ---•�---. <br />.... . ........ <br />._r .. "' _ <br />,� ...r� _�,� - ��. ,. : <br />-�->..:::::::: . . .. ......... <br />Owner......--- �A .: ........... <br />�:-,.ir,.-. _ _. <br />� . . __. _ ..... . . .. .... <br />�.. <br />Appl icant ............. '. :�i'�t��:... r.... ��.._..........--•'---...... <br />�� <br />Ru�.�c:h �iping in,pection - <br />pipe'in excess of�d0' 4.-- Gas Stoves x <br />Gas refrigerators ..__.- ,Gas water heiers� <br />Gas space heaters to 70,000 B.T.U. in�ut - �........ <br />; r, <br />Gas space heaters over 70,000 B.T.U. input <br />, ._ _.. _ ;� <br />_. ._.... <br />Gas f�rnac�s to 400,000 B.T:U. input <br />Gas fumaces over 4p0,OP0,B�T�U� input <br />Ccnversion ur,its to 400,000 B,T.U. input <br />Conversion units over 400,000 B.T.U. input <br />S�na�l appliancet � �, <br />__-. � ....,.., ... cio' <br />Call Back lnspection ._ Fee.f'aid $ A�::�-- <br />�.__.____.Applicant <br />_._i - — ,. <br />py.; _.__���-- <'L4-� �1-=�---7-- <br />plahs a�iproJed and Parmit,yranted as requested Nereiri: <br />� �� <br />a= <br />___ �����(t__ Jnspettor <br />_i <br />�'�% Ji �J <br />BY_ _ -___LL.__ — --_--_ _ <br />PERMIT i<; ^ '4 d `� <br />� N a "'c=4 � ,:.,��;w: <br />