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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance WitF <br /> - City Ordinance <br /> � , / <br /> Everett, Washington...-.-:/��'�y•.:,-/3...:.......r 19.:.�.. <br /> Location.....�......�.......��-••--����----.......... <br /> 61 <br /> Owner........r�.......�.......:�;t.�........................ <br /> (1�', ��ry/ _ _ <br /> Applicant......^'.�...�.:.�..'.l�:..'...................................... <br /> Rough piping inspection � -- <br /> Pipe in excess of 60' -_ Gas Stoves _ -- -- <br /> Gas refrigorators _--- Gas water.heaters.___.� <br /> � <br /> Gas space heaters to 70,000 B.T.U. input --- <br /> _ _ i . , i; <br /> Gas space heaters over 70,000 B.T.U. input _-- -- <br /> Gas fumaces to 400,000 B.T.U. input — <br /> Gas fumaces o,er 400,000 ,B:T U, input = <br /> Conversion units to 400,000 B.T.U. input -- <br /> Conversion units cver 400,000 B.T.U. input --- <br /> Small_aPPliance>_ ----_------ ' <br /> -------��.�------ ------•---;-�s-' <br /> Call Back�lnsqe tion �.�. Fee Faid-$_ "7 c�`•.•,•- <br /> --.-APplicant <br /> �y;;�S�rG�'r / .�_ ._�— - -'t`--- <br /> Plans�approved d Permit granted as �equcsted h��ein. <br /> ---.�����-.`I_�tD - - Inspector <br /> BY-- ---'— -- — — <br /> ;�ERMIT N° 36�9 <br />