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CITY OF EVERETT <br /> Application and Gas Insta!lation Permit <br /> All Worlc to be Done in Accerdance with � <br /> City Orc'inance � <br /> Everett; Washington:...:..-,l�u<K.k,.."--�._.....,..,. 19�?>!._. <br /> Location...----.•--���'-�-�- -...-•--- �...................... <br /> _ __. ..__.... .. .........- <br /> __�. _ �f <br /> Owner .... � ' I ..... �-'k^.-�-� ...- - <br /> . ..............�---�- <br /> ,,,. . .. . �. <br /> Applicant..:.----.::>. ��'. . . v , <br /> . � <br /> Rough piping inspection �- <br /> Pipe in ezcess of 60' - G�s 5toves _- <br /> Gas .refrigeretors�_--_ .Gas �water_heaters..�_.�. <br /> Gas space heaters to 70,000 B.T.U. input —_ <br /> � L.:. ��- i ��-_ � <br /> Gas space heaters over 70,000 B.T.U. input —_____ <br /> Gas fu�maces to ,400,000 B.T:U. input __ <br /> Gas fumaces over 400,000_�B^T:U. input <br /> Conversion units to 400,000 B.T.U. i�iput u_ <br /> Conversion units over 400,000 B.T.U. input <br /> Smal l,appliances—�__,_. __ <br /> — , _ ---�-�---a-o <br /> Call Back�lnspection __ Fee Paid.$�.�,,___ <br /> 0 <br /> `<-=t----- — ---'"-'qP,Plicant <br /> {, / -�c•c C� , �� <br /> By.;.��.��__Lt�l-.-� ��_./.�.-'Z,.�T.�.. <br /> Plens�pproved and Perniit'granted as requesfed herein: <br /> _ .`� <br /> __---- '�ti "��1!1-s'r:�a���_.—-Inspector <br /> � / 1:L� <br /> BY -- ---- T 1l ---------- <br /> PERMiT �,T�' 3�,' �a <br />