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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in AccordanceiwiEli` ` ' <br /> - -- -Liry Ordinance -. - " ;- .�" <br /> _ <br /> , <br /> �(� i - <br /> Everett; Washington::.-..4�:.�..�.�................19�i.� <br /> o /��, <br /> Location......�..�..... 7..._.....:e�t:!-rj�...r.�.'r+-~'.......... <br /> _ i f�� ... <br /> Owner .����-+^-�l��R-�- <br /> •------ <br /> ,;� � <br /> ... . <br /> Applicantj ..... ..:. ... ..............•-�----...:.:...,_..--�--...........---.. <br /> Rough piping inspection —�__ <br /> Pipe in �xcess of;60`;»_— Gas Stoves <br /> Gas �refrigerators _—�.._ .Gas water. heaters <br /> Gas space heaters to 70,000 B.T.U. input — <br /> � ; . _ �_ _ __. <br /> Gas space heaters over 70,000 B.T.U. input -- <br /> Ges fumaces to 400,000 B.T.U, input _� <br /> Gas fumaces over 400,000-,B 1.�. in ut <br /> ,� :��: , cTc �: P <br /> Conversion units to 400,000 L'.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input __— <br /> Small appliances_ _�� <br /> , `�. <br /> - -�-1-.... ., � .r..,. <br /> „ �j QD <br /> Cail Dack'Inspection.._ Fee.Paid $_,_L__^.,_ <br /> . . , . / L.. .. <br /> _ _�.`� _.�_Applicant <br /> gy_;�_ C:_I i. c..� '"'Q // ..2�� . <br /> � <br /> Plahs=approved and Permitfg�anfed as requested hti�ein: <br /> ...-l.-�� '-C ...1_ . . <br /> - - -�/- 'r ' � J� -� Inspector <br /> By ,;�_`) <br /> PERMIT I�TO �5 + i <br />