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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in Accordance�wifli" ' <br /> City Ordinance <br /> , , �� i �'1�...�� , / J . <br /> Everett, WashingtOn.!5:.. .. .......... 19?�... <br /> ; �. `� i <br /> Location............J�.5�..�........6�-11.:s�.S�ZLAuL_ <br /> __ �` _.. . . . <br /> Owner..............�Y1.YLu�:�....�!%r i�........ <br /> u.::...,,... ' � :; . l.�/' .�p _ <br /> Applicant..:.:....:.:�:,(..:Y y.�`4....x.::.�---.. �.:...i................ <br /> Rough piping inspection —�— <br /> Pipe in e�tcess of 60' — Gas Stoves _—___ _ <br /> Gas refrigerators _____ _ _ Gas water heatecs.�.� <br /> Gas space heaters to 70,000 B.T.U. input � <br /> ` � ._ ;_ . <br /> Gas space heaters over 70,000 B.T,U. input <br /> _ . <br /> Gas fumaces to 400,000 B.T.U. input _ <br /> Gas fumaces over 40Q000 ,�,T.U. input —_ _ _ <br /> .._ ..� . _., . <br /> Conversion units to 400,000 B.T.U. input _ _. <br /> Conversion units over 400,000 B.T.U. input _ <br /> Small. appliances� �_,.._ <br /> ; ��:_...__._.__._.._.Y._�._.____ —. <br /> �'o <br /> Call Backllnspection_ ._ Fee Paid $�,�__ <br /> ` <br /> ._..�.�.—..4.�..�.—_���_�___�_Appl icant <br /> i /� `/�' /1 ` � <br /> By...,..,. �-^.LR-C.�1.t--�--'-+-�--f---�,.�---- <br /> � c .i <br /> Plalis`a��rcved and rmit granled as requested ifie�eiri. <br /> �p-f�, �. <br /> - --�1,] `���'����^11 �. Inspector <br /> av _ �G �J� - - - ---- <br /> PERMIT ':" :t:��!�7 <br />