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~`�M�l� <br /> a o <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with ' ' <br /> City Ordinance . - - <br /> + , <br /> Gverett, Washington.---_-:�?':4:�..::::�...:.::.,.•.,- , -� <br /> i <br /> 19�?,:5.. <br /> . ,` / a <br /> J <br /> Location..-•---..�C �2 7'. :�'rn�!'�'�^'�.r.. . . <br /> - ��-� --- <br /> �-• •- <br /> . . _- -�-�- <br /> � �.__., ,, .� ._.�.T _ <br /> Owner-.--- ' . �_�J-.j�''�- � <br /> .......-�--�'� � --- ` G <br /> r-.. . V .................. ..--- <br /> 6 .. <br /> ,,. i,......_ ._, .�.. .. � ,p � � _._:_:. . _. <br /> Applicant .......:.:<:.�--�-`--1--•---............:....:... . - ........ <br /> Rough piping inspection ��_ <br /> Pipe in excess ot 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 [3.T.U. input _—_ <br /> Gas furnaces- >� 400,000 B.T.U. input ____._ _ <br /> Gas furnaces over 400,OOQ. B.T.��. input _ __ <br /> Conversion units to 400,000 Q.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input _ <br /> Small,appliances_-__ __,_�__ <br /> _. � . : �. ,- <br /> -- . � --'- -------i�n-: <br /> Ca�l Back'Inspection _ . __,__- Fee Paid 5_�'��_,_,_ <br /> �_ <br /> :� ;.. .. ..A9plicant <br /> , -— -- --- <br /> i <br /> �� �_ _ry � �: <br /> BY��-��.�-'-K _�` �1 :_'_ 1_ ---7:,.____-- <br /> ., <br /> hl�ns��'pjirove�nd Pe�nit grahted,�as��equesied'herein� <br /> C�' �� ' ' ` ' '�'— _Inspector <br /> _._______�� �_�__ _ �_ __ <br /> BY _ __ ___ _.i-'1F, <br /> �_ -- - - - <br /> PERMlT �?'� '' -r � : <br />