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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work ro be Cone in Accordance �with ' <br />- City Ordinarce . <br />Everett,-�Nashington.......�:C:t`.'yf:..::��.�--..:..., 19�^'. <br />Location- - '� b � `�~ ��..."-..-�e ,C" ................... <br />. ....- -- <br />-- <br />_ __. _ � _ � _. _ <br />Owner.../�2 ��'aM1.!'�,:�•� � ....� ' t�,i.��r... <br />�--- - <br />�. i , ,. r _ _ _ _ <br />Applicant: -�---�--�. .:t�.:c:..'^� ........:............._................... <br />Rough p�ping inspection—�-_ <br />Pipe ir, excess of 60' __-- Gas Stoves _--._ <br />Ga:� re`rigerators _-_ _�_ Gas water heaters __..-�_ <br />Gas space heaters to 70,000 B.T.U. input - <br />, <br />Gas space heaters over 70,000 B.T.U. input - _ <br />Gas fumaces to 400,000 B.T.U. input %� <br />Gas `umaces over 400,OOO.B,i�.U, input -_ _ <br />Conversion units to 400,000 B.T.U.input <br />Conversion units over 400,000 B.T.U. input <br />SmaU .appliances__—_-- -------_ - <br />v-� <br />Call BaGk�lnspection Fee Paid $, i,_�. <br />��� �.. <br />�,�y�v+�� /!�"i,.o'i� . _Applicant <br />� "="e � <br />r <br />��+-t:=-, -_, _ - . _.`=�-� : -. <br />Plans approved and;Permit granled zs reyiiested h�rein: <br />� � <br />� � <br />- ----�(��*=51--%�'��i ... _ Inspector <br />a�r; <br />BY __ _ '!�i '�L _—_— -- - . <br />PERMIT I��^ `�"�� � <br />