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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance Iwilh `�' <br />_ _. .._._ ...City.Ordinance _.... <br />_ ___ _ <br />Everett,.Washing�....�f��,G,cG��..•-.'�..-3 ,..19`i .. <br />_-_....-.-..� ................fc.c :_-:L.r. GGGJ4a4...U.V.:.... ' <br />..._._.. . ._..�.�. ....... . <br />. . y. .. .. .. <br />.... . <br />� ]� / _.. <br />� ,}1r ; <br />Owner........ �lS:{'.!,�, • �.� L <br />. �- -- �l.A::::S� .............. <br />�� ,,. r j ...... <br />,,,,.A .: . ....... ...:.. <br />Applic�ant......--.-:�'...:... /�;.-........._.._......_._.. <br />. <br />� ....... <br />- ----•�-•--•--------- - <br />Rough p�ping inspection (� <br />Pipe�.in excrss of 60' __- Gas-Stoves x� <br />i <br />Gas,refrig�rators_ Gas..water-heaiers � <br />_ ; _.. <br />e heaters to 70,OG0 B.T.U. input __�_ <br />P , . _.... <br />Gas spac � .r . r __._ . . <br />s ac <br />e heaters over 70,000 B.T.U. input _ <br />, _. <br />Gas fu�naces to 400,000 B.T.U:finput <br />Gas furnaces over 40�0 00� B T,U input _ <br />i\ . r•i J.. i V..., .; P: <br />Conversian units to 400,000 B.T.U. input _ <br />Conversion units over 400,000 B.T.U. input <br />Srr�a I'„appl iances <br />- �-rz-�--, <br />Call Back�'Inspection. _._�_ Fee.Paid.$ �� <br />�� <br />..'.'-'� � � PPlicant <br />RY,;�--�-,_ < <�� ._�n � ,� <br />_---��--_ <br />Pfans�appiov'eil'and Permif granted as 7equesle'd h2rein: <br />f <br />---'�- � ����`'�' "�-' �'1L__Inspector <br />� ^ <br />Qy- - — ��—'��-- <br />PERMIT I�1'? 4'�15 <br />