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� <br />: ,„�� <br />„�.c; '�`� � ;;-,. <br />�.. <br />CITY 03 EVERETT <br />ppplitation and Gas Installation Permit <br />All Work to be Done in Accordance with' <br />- City Ordinance - <br />_ �..: :.---�----�� � �..,.-19.��-- <br />Everett; \Nashington:::.....- -.� + <br />C1 , � . <br />Location ..:..........1. �-�---- 6Yt.G:....ti:-Y.c4.'.^.-'...._..--�------•---.. <br />.. _ _. _ # . . C. .. � ...::.: " ........ <br />Owner- � - �• �• .., . • <br />� ..._ <br />, _ _ --�;a;:y,,.--..t;t.�� �:�•�;- �---.. <br />Appl ica nt- --------------" � <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 hea!ers over 70,000 B.T.U. input — <br />Gas furnaces 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 appl <br />� <br />Call Back Inspection _ Fee Paid$_s.-� .- <br />___Applicant <br />E3y... �_: --S`(i ._� --- _ — <br />Plans`appr�ved and Permit granted as requesfed Herein: <br />_ ��Q c` , <br />__— --�"'"_�.'.���"��__(�----Inspector <br />By--- -- <br />-- — -- <br />PERMfT Id° 3.�11► <br />, , ��.� ._.._.... „_,�.��sm__ �..� <br />. <br />�.: <br />z:ar, <br />