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CITY OF EVERETT <br />4,App,lication and Gas Installation Permit <br />., ,,, �o,.,.,.. <br />Ail Work to be Done in Accordance�tviEK'��OL <br />City. Ordinance_ ... .: . . -._ .i..---... <br />rl--,r-y'-._ �\`.. .,` . �. <br />r . <br />�. . .....::�r;..$,.!., 19Y.�• <br />Everett; Washington:::.��• <br />t,/ . <br />- <br />Location....�Y...�. �!......-- -••-•: �fu'4y---�-- ---- --- ------ ------•-� <br />_ ....................... ...._.--_ <br />-r - ... <br />1�1�� -.�-----�w��---�-�-� ��-------� <br />Owner........ .--•----...-------.... <br />_.. . <br />. ......... ..... _. . <br />� � ..... 4 : .. . �_ <br />GUJ4L�2� - . � � . <br />4 "<'""'.... <br />PPlican ---�---•---� .................••-- -'--•--.........---; . . <br />Rough piping inspection � - <br />� c��,... Gas'Stoves <br />2ipE�in'exce of ' 0(7"- <br />�, t <br />Gas,.rBf�igerators. _ �C�s-waYec heaters. <br />�_..__< <br />Gas� space heaters to 70,000 B.T.U. input ..__..._., . <br />_ ............._.. )�G; �._... <br />ln s 6/� 1 <br />Gas space heaters over 70,000 B.T.U. input — <br />�6e -_ ..__ ...__. ___. � � , <br />_... ...._.._... .. <br />�as fiirnaces to �6U,000 B.*.�. ikput — <br />Gas fumaces over 4���.�L��U� input — <br />Conversian units to 400,000 B.T.U. input X <br />Conversion units over 400,000 B.T.U. input <br />$rc�ll� pliance • t, �� <br />-ry � r�:._.. . ��-�:cz <br />CaII BackilnsRection.- Fee.Paid.S� �-�-Q�z <br />iC <br />� �/ Appli: an� <br />L''*1 l�tl.i � . <br />� � �' 119�3 <br />y,;�_�-..._ , � <br />_ . ... <br />_...._. ._.... <br />�g�anfed a re uested Aale i <br />Plan`s'�a roved and Pe� ' � 4 � r' <br />��.. <br />� i }Z___Inspector <br />PERMIT ��'D =� ' S <br />