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� . - <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Worl< to be Done in Accordance'with <br /> City Ordinance <br /> Everett, Washington::-<-....:...�`}:UJ..7 ....., 1R�J?.. <br /> Location.._....!..���,,,._./,��;- <br /> . . / ��... . ... . ....... <br /> Owner .f:jl�� iL.*�..11 .'.i�c�, �� '� ' -�- <br /> � � :.. -�"?'G�-c.... .. <br /> ' .�.-. : /�/ <br /> Applican'r.. �j�...::�y'..�:,C�-,;�-r, � �� �`- ��-{-�j <br /> . .............. . ..._. ....--, � <br /> Rough piping inspertion __LL__ <br /> Pipe in excess of 60' ____: Gas Stoves _ _-__ <br /> ` Gas refrigerators _,__ .�s water heaters_ ____ <br /> Gas space he;iters to 70,000 B.T.U, input <br /> Gas space heaters over 70,000 B.T.U. input <br /> Gas furnaces to 400,000 B.T.U. input <br /> Gas fumaces ovar 400,00O...B,T.U. input <br /> Conversion units to 400,000 B.T.U. input � _ <br /> Conversion units over 400,OQ0 B,T.U. input _ <br /> Small appliances_.___.__________ <br /> q CaII Back!Inspection __ _-.Pee Faid $��� <br /> �.i+`r—f-- --�-----�------_ Applicant <br /> By.._�_4i�C�.�.�._�r_�-�. , <br /> � 7..�---r---- <br /> Plensapprrned and Pertnit granted a� reqiiested.herein. <br /> � /� � <br /> f1•:�G!� i �•. <br /> __ ___— —_-r_� i_�=^--- -Inspector <br /> BY _ _ '� f-'�-= <br /> PEeMir �,Tn ; � ,, � <br /> � <br />