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I <br />�".' <br />CITY OF EVERETT <br />Application and Gas Installation Permit <br />' All Work to be Done in Accordance iwifh��� ' <br />-- ' City-0rdinance - <br />t- ;-. .. �, , ��� �. rr ... _ . _.... <br />., ., _� _.'; �, i ; / <br />Everett; Vfashingtoh.:::.---`:E!.'LL/�.�'c'�.:�...'..!., , 19�?.5.�. <br />.. :.'., . <br />w <br />Location.--.':!.���:......:-��' ;2.1:f'..�:.�ti�4N ----��- <br />, : , � :, , - -. �.. ... . - _... .. <br />.. . r.. <br />. j% i ^ �pt . n <br />..T �i l�.l�t�� . 'S�%'.E�.c r ..................� <br />Owner... C/ ... .. �c. <br />� a <br />i ,,�;� � f. .._ __ . <br />f ;�-, ' ' <br />Applicant ...�.>: ...- ,:.,�c' ..F . . . ... ...... <br />` � Ui ! <br />Rouyh piping inspection• %> - ,, <br />Fipe'in ei(ce'ss of'60' " Y4' "' Gas Stoves <br />�Gas, refrigerators Gas watec heaters..L� <br />Ga�_space heaters to 70 000 B,T.U. in ut �� <br />�n.��., -. . . _c.. i .P_ __..__......... .. <br />�ii,�� ;' �__ <br />Gas spac� heater, over 70,000 B.T.U. input ��� <br />i;,b , _ _ _ ...._ _ . _._...._ _.. <br />Gas fumaces to 400,000 B.T.U�. input %� X� <br />Gas fumaces over 400,ODO..BrT�U. input _ <br />Conversion units to 400,000 B.T.U. input _ <br />Conversion units over 400,000 B.T.U. input <br />$mall, appliances_ -- ______ <br />._. . Ar, � o. <br />�;]J. .' � � .:e <br />Call Back'InsAection-- - Fee Raid y„�_, <br />; -',n.;_. <br />�;,� _ _ _-' _ �ARRlican�. <br />g� . �: . �;,..,—a��. �y: � ���? _ � <br />��u"-�-i" `�c � <br />Pla s�approGed and Pe�mit g�anteu as �equesfedihe�ein: <br />r. - (-, _.' ` ' <br />_ �p1��:Z(:r�':�:•::i[f�--Inspector <br />9 <br />o.. %i..-1:�.. <br />PERMIT i'?`: ��"`' <br />