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CITY OF EVERE7T <br /> Application and Gas Installation Permit <br /> A�� Work to be Done in Accordance�with" ' <br /> l:ity Ordinance _ <br /> Everett; Washington::.:..... ' 1.<;,t�,:7,,,:. . 19� (,_ <br /> Location..:.....! � � �...�za_�r'+-�� <br /> ... ... ..Y... ... . . . <br /> . . . . ..........��. ... . <br /> _.. <br /> / � <br /> Owner---...-----�..t'.<:---i'��?:R:S.-.�....�11ti�t� <br /> � ., � <br /> �----- ��----... <br /> _ _ / __ _ / __ <br /> Applicant.........:.1.�S...y�:f(. ----- - _ __ <br /> '.� - - ��---•--•--•--�--�� -�-- -......._ , <br /> Rough piping inspection _,�_ <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 ___X <br /> Gas space heaters over 70,000 B.T.U. input ____ <br /> Gas fumaces to 400,000 B.T.U. input __ <br /> Gas furnaces over 400,OOO.B.T.U. input __ <br /> Conver,ion units to 400,000 B.T.U. input _ <br /> Conversicn units over 400,000 B.T.U. input _._____ <br /> Small appliances_____ _ __ `_ <br /> - --.--' <br /> , . . -------/-......--. <br /> Call Eiackilnspection--.___ . Fee Paid �� <br /> S_,1:_- <br /> - — '--— — -- -- ARPlicant <br /> BY,�-..�. �f��'('::'�s' -�� ��,� --, � <br /> ------ -'�.�_..-- <br /> Plzns approGed and Permit granted as req�iested:herein. <br /> ,�/. ., <br /> - — �Q::..�1�1Y!C�e .. <br /> �----__—___ _Inspector <br /> BY-- ---=�--'J�r=— <br /> PERMIT , -� ° �, �; � <br /> : <br />