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CiTY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance'with <br /> City Ordinance <br /> Everett, Washington.:... .............�.°.Z........., 19...12.J <br /> •-, q �� <br /> Location...�.5?.Q..I.--'f._......0 o L?..l.;E-..�Q?!�, <br /> Owner 1.���:�:.'1,iv`-�''`.?�t. ��C.!.�-L+�,.-�---' . �-�---- .. <br /> , , ( '�' 'yx ,d� \ <br /> Applican�.....::.........�....-- -��--�-� --..-'.--....---_•-•.------......... <br /> Rough piping inspection <br /> Fipe in excess of 60' __:.-__-_ Gas Stoves _ - <br /> Gas .refrigerators -.___-_-.- �Gas watecheaters-1�L_ <br /> Gas space heaters to 70,000 B.T.U. input _- <br /> Gas space heafers over 70,000 B.T.U. input __ <br /> �,as fu�naces to 400,000 B.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 /> Small appliances__..�-��------ ; � - <br /> � , <br /> _ -----^�*-�..�""`"" ..�_....N.i..T._ <br /> Call [3ack;inspection . _.-_- Fee Paid.$�.—_.. <br /> �__�_Applicanl <br /> -,---;- i 3 � _ <br /> �v;--T'��_s�-� ��-- � ---:_-- � <br /> Plans appreved and Permit granted as, requcsted herein. <br /> � �^' � '' <br /> � �:.�' t�..'J"L�t2,.P ' —_ _Inspector <br /> -- =-- � - -- � ' <br /> t , <br /> �v _ J_� _.� � l ___ --- <br /> PERMIT �" ������ <br />