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CITY OF EVERETT <br /> Appiication and Gas Installation Permit <br /> AII Work to be Done in Accordance'with ' ' <br /> City Ordinance- - <br /> ' �� ; _ <br /> , � 1 <br /> ` , � <br /> . . ; __ <br /> Everett; Washington:.:.:.::.,:c�.:---`--•��.'............ .19b ... <br /> Location..---..�ti�..f.�--.'`'�--�--v . <br /> ----••----------�--�---�---�---�---...---. <br /> _ _ _ _ __ _. <br /> �/ ,[� � _...__ <br /> Owner......-----�-----ll...l.X...--- ..!�:................................ <br /> � , � !;� f� <br /> Applicant:.... --`-L:J�.�.�..i..: �.....:. - ---.... <br /> Rough piping inspeciion _ <br /> Pipe in excess of 60' - • Gas Stoves __�_( <br /> Gas refrigerators ____ ,.Gas water-heaters_�`_— <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 furnaces, to 400,000 B.T.U, input <br /> Gas fumaces 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 /> .r i,. <br /> . .- . _:. �. -�-_�� <br /> Call [3ack,lnspection __..___.._�.�.Fee Paid j��_._�.�_ <br /> ..._------- � --�--------..Applicant <br /> ? 3��� ,��< < � - /, t , ' <br /> BY- -w;---- - -- ----- - — <br /> _`_'i t> <br /> P!anrapproved and Perrnit q�ted gs recuested hle�ein: <br /> ^ ` <br /> _ . _.-. _ /�'��:''�'_i` u �j <br /> `�� --_Inspector <br /> ,�: <br /> C��., ° 'i�� � <br /> PERMIT ' T'" <br /> � �� <br />