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r <br /> CITY OF EVERETT <br /> Appl�cation and Gas Installation Permit <br /> . '. All 'Work>to�e",Done in Accordance,wi�F'r�"' <br /> _.'.:::'>,Cify..Ordinance : . '. _ <br /> __.___ . <br /> /� <br /> Everett -Wash�n�n.,, `r^ ' "�`'� 19�� <br /> .!. ' <br /> , 9 • � .::............... . ... <br /> Location � � ` � �( <br /> ..-� ... �a'"�3v,t,«...._.� .... <br /> ,_ .. , � _.. . . . ._ <br /> �: .r�� ; ��) s � <br /> --• <br /> 1 � '' • <br /> Owner ...........................�----...... <br /> o-'� .l,• :�. -�+.�. <br /> ........................................ <br /> �� . <br /> . ,,,..:,:= ,-�`�r� � .� -; -�::�� � ,X.� ._. _ <br /> , � � �- .;_..._ <br /> Appl i�ant:...:...........:... :....:...•----..,....,---..�_................... <br /> Rough piiing inspection K.�_ <br /> f�ipe'.in excess.o#�6�', �,_�`'.�,_ „Gas-Stoves --� <br /> I� l i ,,. <br /> Gas �efriger�tors �G�s water heaters._- � <br /> Gas space heaters to 70,000 B.T.U. in ut <br /> _ ,�A _ . . _ .. , ,t:- � P ._ . <br /> Gas spece heaters over 70 000 B.T.0 inpuY �_X <br /> , ,.t,_, � __.. . .. . _ , ,._ ...... <br /> Gas fuinaces to 400,000 B.T:J:"input � � � x <br /> Gas furnaces over 4D0 OOq.,B.T,U. input <br /> /\::t('i.Li a:.lU{', <br /> Conversion units to 400,000 B.T.U. input <br /> Conversior, units over 400,000 B.T.U. input ___ <br /> Small�appliances ��-Q <br /> _-- �—�,wi � � �� L `�� ,., <br /> , , - --=a�,— <br /> CallBack'Inspecption ___ _ .FeePaidS-�[�. ,� <br /> _ ���'f•�- � � V�t,a,.s�..;�.t � �. � r. <br /> � <br /> _, (�� _Appl icant <br /> l..«l,� � Q ,o � <br /> � Qy_k�_ _ CJ �� -- �> <br /> "II <br /> P!ahs�approved and Perjnit�granfedas requested h'ere(n. <br /> -- � .. � J',�'� `' \ • <br /> • � -f. 4L� v-n„�-..:— <br /> � �---_ -_.Inspector <br /> a1'-- -- -- <br /> PERMlT N:' 4542 <br />