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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Dorc in Accordancc with <br /> City Ordinancc <br /> Everett, Washingron....� ..........�y..., 19.61. <br /> Lo[ation..!'��'�.Y... �'LC�. (��.. <br /> . .......................................... <br /> Owner.�....:./..� ..}�"':`.'.''"."�`::u'.:�................. <br /> ApplicantiF:.!'.�i�'�t! ~ -..:....... __.:........... ............. <br /> Rough pip�ng inspeelicn _ -] <br /> Pipe in escess oi o0' Gas Stoves - _ <br /> Gas refrigcrators _. .._ . Gas waten c�aters.._____ <br /> Gas spacc hcaters to 70,000 B.T.U. input .____—_ _ <br /> Cas sp:cc hcatcrs cver 70,000 B.T.U. i�put —_ _ <br /> Gas fUFnaces to 400,000 B.T.U. input _ __ <br /> Gas furnaces ovcr d00,00�} B.T.U, input _--_ . - <br /> Conversion units to 400,000 B.T.U. input _� <br /> Convcrsion units ov=r 400,000 B.T.U. input __ _ <br /> Small appliances__— — — <br /> Call f3ack�l ec!icn —____._ Fee Paid S__ '��-.- <br /> � <br /> ' �pplicant <br /> `-+-+1 — <br /> � <br /> BY-•�� '- ----- -�f •-:-- . . <br /> Vlzhs apprcved and Permif grdnted a�.fequesfed hercin. <br /> ,� ; <br /> -• -`�—._:- :`t--L - - -Inspect�:r <br /> Qi - - - ---- i <br /> PERMIT V'O 481►�1 <br />