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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance'wi4h' � <br /> City Ordinance <br /> Everett, Washingtan..........,�""?`�......7........, 19.`S <br /> � V <br /> Location.............?�.7�........���........ <br /> O w n c r...............[t.....Le......f.f!'.�.,............... <br /> ApplicanL.:.........!-.:1.rt'_. :�-'.. . : . . <br /> . . ............................................... <br /> Rough piping inspection __�A - - <br /> Plpe in excess of 60' ___- _ Gas Stoves _ _ _ - <br /> Gas refrigeretors _-- - . 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 /> Gas fumaces to 40U,00� B.T.U. inpul _— -- <br /> Gas fumaces over 400,OU0 I3.T.U. input .— ___ <br /> Conversion units to 400,000 B.T.J. input —_ <br /> Conversion units over 400,000 B.T.U. input ___ _ <br /> Small appliances_------ -- -- - -•---- <br /> -----� � ---- � <br /> Call Back'Inspection _ _—_ Fee Paid5-1-.�. <br /> -�--- -_—_ _.Applicant <br /> 4Y .�---K.----� 'fr /���...._._, _ .-- <br /> Pians approved and Permit granted as iequested herein. <br /> _ _- _6��J��'��- =--- Inspector <br /> �,� ..rrs <br /> Qy . - .—._--- <br /> PERMIT '_°�° ��';:�:; <br />