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CITY OF EVERETT <br /> A.aplication and Gas Installation Permit <br /> All Work to be Done in Accordance with' - <br /> City Ordinance <br /> Everett; Washington.._:._...(��'�L.>.`.:R..R..•..�.---.., 19�.:b. <br /> U. ' , <br /> I `�. �/ _� �-A-,4_�.... <br /> !_ocation...------... . .r . ��s..Q2:c.r. ............ ...........�-- <br /> .......� <br /> . . . ._.. _. . �... . ... _. _ .. <br /> / _ _._ <br /> Owner.-� --...... /..._., .'S ----�'?�-.'.!..':-..::.0..:..........." <br /> � _.. <br /> � . _. . � _ <br /> �-� i:k n � = -. . ._ <br /> Applicant...::.....!ix.-- o-�`-'•'-'�---•---� �� -::. ........_. <br /> Rough piping inspection �— <br /> Pipe in excess of 60' — Gas Stoves �/' <br /> Gas -refrigerators _-- , Gas water heaters.Q— <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 furnaces over 400,000. B.T..U, input <br /> Conversion units to 400,000 B.T.U. input _�—__ . <br /> Conversion units over 400,000 B.T.U. input _ <br /> Small appliances_. ___�._. --- <br /> --- _ -- � ��— <br /> Call Back;lnspection--_-- - Fee Paid $.__�_ __,..-. <br /> ` -- -------APPlicant <br /> � �c_c �2 # �J��� <br /> Byi1->s.= ----�'-�._.__._1�T—"— <br /> Plens approLed and peimit granted as ieqiiested llie'rein. <br /> l_ <br /> _ ? � P <br /> �Ci�'�r '� - ��+___ .Ins ector <br /> � ;. � <br /> By —` ' �/1 - --....... <br /> PERMIT �"�n �°� �� <br />