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; <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accardznce i�yith'- ' <br /> City Ordinance ... <br /> '! ( <br /> Everett; Washington---.:....:':::.`'"-......�'...:......., 15'.�.... <br /> „L c.D A �vv�ti/a.�_A. . <br /> Location ......- � -.............•----.....---- ----.......--��--�--��--��-- <br /> _ ..._ __ _ . .._.__ _ . ___ _ <br /> � ,, ; <br /> i, k l:.�z �l �_u ���` ..... ..- -•--�-------�-----�- <br /> Owner - - ............. ...................•---•-a'n'✓J t <br /> �r <br /> ' -. .. <br /> „P __.. . _._ _ . <br /> � <br /> A plicant......_ ,�....::�!�:...S..r...----................................. <br /> / <br /> Rough piping inspection �__ <br /> Pipe in excess or 60' _.--- Gas Stoves --___ <br /> Gas refrigerators _---- Gas water heaters.�_ <br /> Gas space heaters to 70,000 B.T.U. input �-- <br /> Gas space heaters over 70,000 B.T.U. input — <br /> Gas fumaces 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 /> SmaJl appliances --- - -� <br /> -- ,.. -----"__— v- <br /> C',li gack'Inspect�n _ Fee Paid � <br /> �r �( ���, <br /> ��� •',,�. � ' .-- -p`PRlicant <br /> -- ..�— �—�. --.- . -- c. <br /> ' � � i '�� ✓ s� ✓ <br /> gy �,,,.�- �_ _____. � —7�-- <br /> �. <br /> Plaiis approved an� Permit granted as �equested Reiein. <br /> _ -�,�L '�7 ��*�- ' - -- __ _ _Inspector <br /> ��• -- - - - - - - <br /> ___ - - - - <br /> ,; PERMIT , _ .. <br />