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CITY OF EVERETT <br /> Appli;,ation and Gas Installation Permit <br /> All �h�ork 2o be Done in Accordance Iwi4h '" ' <br /> City O dinance <br /> , . , �� 1 . <br /> Everett, Washington--'-:lc!�-•:---.,:-`�--.--•---. 19L..7 • <br /> Location....�,�P.` � o ' <br /> � .._.-.�'.'lc2!,-:7..._:.�f.r.rl. .............. <br /> _...._._. �/..�.. -.....'.. <br /> �} . .. �j_. ....___. ...._. <br /> Owne r..��.���.(_2.i..... °�9 '�-d�{�Q�„e................ <br /> , - .....-----�--� <br /> i . - <br /> Applicant :..-- •� ..l.r. ..'............:....- , <br /> � � . .. ........... <br /> Rough�piping inspection __ <br /> Pipe in excess of '¢0' __�._ Gas Stoves -______ <br /> � , <br /> Gas.refrigerators _____ Gas water heaters <br /> I ,,, <br /> Gas space heaters to %0,000 B.T,U. input __�_ <br /> Gas space heaters over 70,000 B.T.U. input ____ <br /> Gas furnaces to<400,000 [3.T.U. input _ <br /> Gas furnaces 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 /> �mall, appliances____ __ <br /> ' � , . _ <br /> Ca�l [iack'Inspe4tion_^___.�_.Fee.Paid �y ��� <br /> _ � <br /> 9 .�� ,.s. 7--� ,_..:,� <br /> �-r��j "�-,�J . �pplicant <br /> , /s; I <br /> RX:,-- r �� 0 '_r,__ �.J <br /> --c--`--� - ------- <br /> r -- <br /> Plans approved and Peim�F c�rented �s•requesYed heEciii. <br /> �a � ; .; � � <br /> �� �, <br /> -r- !�" _Inspector <br /> // <br /> Ry -`. �__CiC� "�-('--'�"%��'/�`'� — <br /> � <br /> � - - <br /> PERMIY" �I�r� 4'7G� <br />