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, ; <br /> CITY OF EVERETI' <br /> Application and Gas Installation Permit <br /> AII Work to be Done in Accordance 'with <br /> City Ordinance <br /> Everett, Washington........ .�r.e:ti,{,,.__..,2`_�.._� �g�7 <br /> Location...I 3 O�... .,.rt.'.yt.L�.!'..�Y.......................... <br /> - „ __ . . ._.. <br /> Owner i���t� .... _... .. _ <br /> ... <br /> - - --��- - ....... � <br /> i � �- <br /> �.,_ � � . <br /> ` -.� <br /> Applicant..�f�!. ...-�� . <br /> . ....... ..... .r.:_................--�-------�---�----....... <br /> Rough piping inspection __ <br /> Bipe in excess of 60' ___ Gas Stoves ____ <br /> Gas refrigerators Gas water heaters � <br /> Gas space heaters to 70,OOO�B.T.U. input <br /> Cas space heaters o��er 70,000 B.T.U. input — <br /> :.. _ _ . . , <br /> Gas furnaces to 400,000 B.'i':U, input <br /> Gas furnaces over 400,000 D.T.U. input <br /> Conversion units to 400,000 3.T.U, input _ <br /> Conversiun units over 400,000 B.T.U. input <br /> Small appliances <br /> — -----n---- ��'_ <br /> / ✓ <br /> Call Backjin`spection ___ Fee Paid $ _ <br /> �� ` � � ' ---APP,licant <br /> - . ...� <br /> �+'��-�------- <br /> P!ans approJed and Permit granted as requested herein: <br /> _ ---- ----->_ �� , �: ' ---Inspector <br /> , . <br /> '� i-i <br /> By '. ._: `'— — �T-----� <br /> PERMIT i�':' %�6'��i <br />