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CITY Of EVERETT <br />_ Application and Gas Installation Permit <br />All Work to be Done in Accordance tivf(h- �"=' <br />p,(� . '��� City-Ordinance� - <br />� c' <br />,_ <br />� d " , - <br />Everett, Washingfon.......,:..... �q�_� <br />.........A .............. . <br />: - , / 'J <br />Location:�..`.':ci?.�...s�./.���. C".K'4':..... <br />. ...... . <br />_ -. ...�-- <br />.......... <br />�_. <br />,- ��y� �}/ r - <br />O w n e r.......'.....��.;�6..L.: C.!%e!.:�. �...l.t-?!S�.ae <br />��._..... <br />i <br />Applicant �.`.... � . . _ <br />'� �� �� ----. �' ..'....(.�_.......... <br />Rough piping inspection _� <br />Pipe in ex4e�s of b0'�_ _�__� Gas Stoves _� <br />Ga; refrigerators '__. _ _ ,Gas wa!er. heaters � <br />Gas space heaters to 70,000 B.T.U. input k <br />� � : F1 , _ . . .. . _ . ._.— <br />Gas space heaters over 70,000 B.T.U, input <br />Gas fumaces to 400,000 B.T.U. i�hp4t <br />Gas furnaces over 400,O�U B�'1'tU, input <br />Conversion units to 400,000 B.T.U. input <br />Conversion unirs over 40U,000 B.T.U. input <br />Small appliances_�_.__.�_____,. _ <br />Ca'I Backrinspection . .��,.._,.Fee Paid $ � �, <br />� <br />. t��'__ <br />:..,.�� -- ---------�-�_�.__ �_.Applicant <br />.0 <br />Bv;,-.. � l'=L-'�'y_f1�2 3 <br />� - � - - j �---- <br />Plaris apprcved and Permit grante�l as rcqyested iie�ein: <br />—��J �� . <br />�1�'�' '�-t-�'ry _ Jnspecfor <br />-, - <br />�>� --- N�� �"-_._. <br />PE�MIT ?d� 3s6n <br />