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'�, � <br /> CITY �DF EVERETT <br /> Applicatian and Gas Installation Permit <br /> All Worlc to be Done in Accordance with <br /> City Ordinance <br /> y <br /> Everett, Weshington....---�........:.....�.............., 196..:.. <br /> Location...F.�r'd...tl -' �. <br /> � -�--��---•� - - • --- ••. ..... . ....... <br /> /��_ � �f _. <br /> Owner C.:'"/7�.GX.. .. �_ ...- ---...... <br /> ..,. . } . _.... . . . <br /> Applic`ant....:.........�X."-��----�� -�-� �-�-•----:..---�--��--- <br /> Rough piping inspection _� <br /> i'ipe in excess oF 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 v'00,000 B.T.U. input <br /> Conversion units to 400,000 B.T.U. input — e�— <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances <br /> Call Backinspection _.____ Fee Paid $��__ <br /> -_ , /' <br /> 1�pplicant <br /> . <br /> Ev-.-�" -`�--'�`=3-�-�-- ---- <br /> ,. , <br /> f'lans approved and Permit granted as requested lierein: <br /> r <br /> - _—_— `+� t''a— � Inspector <br /> �---- <br /> QY - - - -- �J`p.���- _ -- ---- <br /> 3-{- <br /> PERMIT :�" �A,,'? <br />