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� <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance'viifR'=� ` <br /> _ _ ._... .City.Ordinance-- - <br /> , � <br /> .'. '_ ', -y�, � � '/ / <br /> Everett,.Washington....../..(.�:4!�1i••�•'Y.••••••••••, 191��• <br /> Location......�.7..�..�--...�!l�M��I�V..�"---... <br /> _ -.y_�___ <br /> Ovwner....---- �� �---......1(".E:��:'::. � <br /> � �.... ..................... <br /> . .� � <br /> , i <br /> ,�c.� . ... ...�-y(.' . r rt . . <br /> Applicant.:.,S.�SI✓..'�.4..A':P.h;t...!�4�:'._...:f� .. d�:�.;..:... <br /> Rough piping inspection � <br /> Pipe in excess of�60' ___�- Gas Stoves ' <br /> Gas refrigerators ----- Gas water heaters. <br /> Gas space heaters to 70,000 B.T.U. input X F`,.... <br /> Gas space heaters over 70,000 B.T.U. input <br /> _ _....... __...._ <br /> Gas fumaces 'to 400,000 B.T.U. input — <br /> Gas furnaces over 400 009 .B,T.U. input <br /> l�:.i _ . <br /> Convcrsion units to 400,000 B.T.U. input <br /> Conversion units over 400,000 B.T.U. input <br /> Small,appliances--_ �, - <br /> Callf Badc!Inspection _.__�- Fee Paid$ ��in--- <br /> Applicar t <br /> ic', <br /> By,�,_r-����------- <br /> Plan§�app�oved andterrriit grented�as requested Neiei�� <br /> � • ..� � ���r: _Inspector <br /> �.. <br /> BY--- --:�_!� - <br /> PERMIT N:' 4397 <br />