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CITY OF EVERETT' <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance'with � ' <br /> �:ity Grdinance - , <br /> i <br /> Ever ` ' � ' - <br /> ett, Washington.:.:...k ,i:.�:cr..:..(..A.........., 19G..�... <br /> � _f� Q <br /> Location-- :... i' f:�:� � li'cu�'.t"'�-aa-� --... <br /> 2'.-.. �!'--•' ( ..� <br /> p / ' '- 11 <br /> Owner-�--�'--�---�#AZS�e�C..r-:.`:�`�:�.:t�7r.t.�r:.!�5. :... . ' <br /> ,_, <br /> , ., . _ _ . <br /> ,-- - .- , r -�L Y .�� <br /> �PPlicant:.... �l �._ ! � `1"-..r!''`---.• • ............. <br /> Rou9h pi�ing inspection ���7` - <br /> Pipe in ezcess.c`-60` _--- --- Gas Stoves -_—--- <br /> Gas refr.gerarors _—_-- Gas watar heatecs_—.- <br /> Gas space heaters to 70,000 B.T.U. input _L�-�`= - <br /> Gas space hea�ers over 70,000 B.T.U. input - <br /> ., _ . ._ . .. . . <br /> Ges furnaces to 400,000 B.T.U. input — <br /> Gas f�arnaces over 40�J,000 B.T�U. input —. <br /> Conversc.� units i. 400,000 B'T.U. input _ <br /> Conver, �n ue't; over 400,000 B.T.U. input <br /> Srpall,a,ppliances_ -�--�-- �, c : � <br /> _—�.:_ ,— -_-""---- --;*�'- <br /> � � <br /> Call Backjlnspection __..�-�.- fee Paid $.�`.�,,,'.�;,- <br /> ,_,;,._,. �_ <br /> .._�------ -- - -- -- AP,Plicant <br /> r> �� :�r- ,_ � <br /> -1L�- -�;: <br /> gy.,_ ,__,;___ _..�.___�._._�. _ � <br /> , <br /> P!ans'appr6ved and Permit g�ant ed as req�ested herein: <br /> ,i' <br /> - ' �f �`.r_11��=�L�'-� Inspectnr <br /> .. <br /> � - - <br /> � <br /> a ;� �I� <br /> • - <br /> v - ------- -- - - --- <br /> PERMIT I���' ��" ', <br />