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CITY OF EVERETT �''� <br /> Application and Gas Installation Permit <br /> All Work to be Donc in Accordance Iwifh <br /> City Ordinance <br /> Everett, Washington....�'Lt""-...�..a........., 19��1... <br /> ............. <br /> � p -C �� <br /> Location.......A.C.d...�la.c.,.... ..C��'�'.`...... ..................... <br /> ��,L� 4 �� '..�; ; <br /> � � .. . �� :v. <br /> Owner.......:........ �;�..,1............ <br /> ............................ <br /> '�..._.1... _ _ <br /> Appl icant::......�".:..��.:.:rb1:......:.....:...:.:......................... <br /> Rough piping inspection _!S_-_ - �\// <br /> Pipe in excess of 60' ----- Gas Stoves � <br /> Gas refrigerators _._-__--- ,G�s water heaters._ <br /> Gas space heaters to 70,000 B.T.U. input _--- <br /> Cas space heaters over 70,000 B.T.U. input _ <br /> Gas fumaces to'400,000 B.T.U. input _ <br /> Gas fumaces over 400,0OO..B,T.U. input . _- <br /> Conversion units to 400,000 D.T.U. input _ - -- <br /> Conversion units over 400,000 B.T.U. input __-_ - <br /> Small appliances_�-------------------;-- <br /> Call Back;lnspection .__�_ Fee Paid 5 `-' -�- <br /> i . <br /> . .. n <br /> � <br /> � �Applicant <br /> �i1 �°f �9 . <br /> ' ' ------ -- — - <br /> [3y..i ,.�, ------- -.�._ - 1 <br /> P!ans approved and Permit granted as requested herein. <br /> — -�-�-� "�,'--_---- __ Inspector <br /> ��.i:_ <br /> ,_ � - <br /> [�y - - - - - <br /> PERMIT N:' 4637 <br />