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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance'14ik1i-:�"� <br /> City Ordinance ____ ;'. <br /> / , � .y .. <br /> --' <br /> Everett; Washington::::::���.�%�.-�=:��..:......... 19i::.?... <br /> /;� , <br /> Location--- -....-- /-��3-, --d%•"-"'�::•:_•--_�" -�-.�_-� <br /> ...._ ._. . .. _.._l: . . .........%.........�L,y. �. . ........ <br /> Owner............_ .�.J�-a-L1, � l!_.�.... �/a_._ .:.L -r, <br /> ..-.. .. ....._. <br /> ..�. , � ' --�--` <br /> A li <br /> s� <br /> - t ' V . . 1 _. . _. . ._.. <br /> pp cant ........ !......:, <br /> �--............. ...... .............. <br /> Rough piping inspection /� <br /> Pipe in excess of 60' ___ Gas Stoves--- <br /> Gas ,refrigeretors ____ Gas watec.heaters�� <br /> Gas space heata�s to 70,OOO�B.T.U. input _ <br /> Gas space heaters over 70,000 Fi.T.U. input <br /> Gas fu�naces to 400,000 B.T.U. input <br /> Gas furnaces over 400,000. B.T.U. input x <br /> � - . . . . - <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 /> - , ,—.. :---,�;,___---�. �__.--- <br /> ��_: <br /> Call Bacic'Inspection ___�_._ Fee Paid $� <br /> -^-r,: v <br /> � . � <br /> .,.....----_—_______- ----- - ---Aqplicant <br /> �Y;i ��';- �--- - ``-- ---`---- -------- -- <br /> i---- <br /> Plans=�pproJed and Permit,granted as requested�he�ein: <br /> !;��,,, ",,;�-: � :c j . _ <br /> - --- --- ----�-----_Inspector <br /> B�y� - - - -- -l-..� - - -- -- ----- <br /> PERMIT T:T�' �r, • s: <br />