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TY OF EVERETT
<br />Application and Gas Installation Nermit
<br />All Work to be Done in Accordance�l4ith""'
<br />, . , ;: � City Ordinan,e�.. , .. ,.. . __
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<br />Everett; Washington:::::l.:k't�:.:�.:��.k'r.:.....,.1.9.L6..
<br />Location...��..'�...`�.�....._ �.`.c�-� ��--� --��---........
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<br />Owner..--.--l..� ��<L�{IA.N.
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<br />Appl ican C............'�!�'�:....°7`:"ti-�----:-�?a^{�.�:...--�--..........
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<br />Rough piping ins,�ection �" _
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<br />Pipe in exce�;'ofjGO'' '�_�, Gas Stoves _
<br />�Gas, refrigeretors __ ._ �Gas water heaters..
<br />Gas_space heaters.to 70,000 B.T.U, input �
<br />�,A __ __.. i; ;
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<br />Gas space heaters over 70,000 B.T.U. input
<br />� :�. �. _ � � .. _ . . . .. _ . i i.l � ,... -. _ . ... ....._ ..
<br />Gas fumaces t6400,000 B.T.U. input _
<br />Gas furnaces over 400,OOQ.,B;T.U, inout
<br />,� , ,,.�. r
<br />Conversion units to 400,000 B.T.U. input _
<br />Conversion units over 400,000 B.T.U. input __
<br />Small. appiiances �__ _
<br />9 �' �
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<br />Call Backilnspection ___ __ Fee Raid 5_� ';,,_.
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<br />_ -, �.��{��� �Applicant
<br />By., — --�XL � ��07 S � �
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<br />Plan; epproved and Pe�i�jt'�granted �£,requested lfierein:
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<br />— ']:.���Tl'?�_;_ f'� 7 : �_- Inspecror
<br />BY— — --- --
<br />?ERMIIT I�?° �? .r�`>
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