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� <br /> CITY OF EVERETT <br /> Application and Gas installation Permit <br /> All Work to be Done in Accordance�wiEh'='�' <br /> , , , • . �City-Ordinance _ <br /> _ ; , , , n . �. .`^ <br /> , �� ` , \ <br /> Everett, Washington...::;,a;L.�r�.'�..�.:l.:../.�r�.:.:, 19�� <br /> Location---�--.... �� _/!� v���ki'�.. <br /> ... <br /> ' r d_ �.� . -- <br /> Owner ...... �d�r-rf�cnr-+�,•.•-- ��jj� lrL.�-r..x.... <br /> ( � <br /> I�r � � . � ' . _ J � .;ry� � �/ ... . <br /> Apphcant\.......`...�.Y':..�.1..�.�---•�....:..,�.,.��.� <br /> Rough piping inspection <br /> Pipe in ezcess o�, 60` ' - ' � Gas Stoves <br /> l� � � ' <br /> Gas,,,-refrigeretors '— �Gas water heaters� <br /> Gas space heaters to 7Q,000 B.T.U, input ___ <br /> , �\ _ _ _ <br /> Gas space heaters over 70,000 B.T.U. input <br /> �(:_. .,, � , _ _ <br /> Gas furnace3� to 400,000 B.T.U. input <br /> Gas furnaces over 400 000. B T.l� in ut <br /> ,,_,,.,.0 �2iu •i P <br /> Conversion units to 400,000 B.T.U. input _ _ <br /> Conversion units over 400,000 B.T.U, input _ <br /> Smal�,appliances_ .�.__ <br /> ��.. �' <br /> :�,�,��.. �..��� <br /> i <br /> Call Back�lnspection .__._..r.�._.Fee Paid $��, <br /> �,.,...,._____..____.__. r ..W._�W-�.�._Applicant <br /> BY,��;�,�.. � '..�_���y��3_.__.;��- <br /> Planrap�lroJed and Pe�mit granted ass'reqf�ested hereiri: <br /> V \ • <br /> __ _—_ ' D _.inspector <br /> a>'- --------���� --- <br /> PERMIT �?�' � `" � <br />