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CITY OF ENERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance iwitfi " <br /> City Ordinance <br /> �., �, <br /> , <br /> Everett, Was��mgton...:....,c:';��. ��........ 19 <br /> .::::.. <br /> , ........ <br /> � <br /> / G� J�% <br /> Location. -_`=..,..�._I..L..eS............V..�I.=c.. .� <br /> _ _. _...._ ... <br /> � <br /> ....... ... . <br /> ,0� i �j <br /> Owner.... � .'f,��,.c.._ -�j-� ----• r$_ - <br /> .. .,.. . ._ . <br /> Applicant......... ' . -'�"'11�� 1 �;..r . . . . . <br /> ............./._........,......--•=-•--•---'--.............._.... <br /> Rough piping inspeetion ___ __ <br /> 'i[ r <br /> Pipe in excess of 60' _ ______ Gas Stoves _ _ __ . <br /> Gas refrigerators _-- __ .Gas water heaters.._L�_ <br /> Gas space heaters to 70,000 B.T.U. input ._._._ _ <br /> Gas space heaters over 70,000 B.T.U. input _ __ _ <br /> Gas fumaces to 400,000 B.T.U. input _______ __ <br /> Gas furnaces over 400,000 B.T.U. input ____ _ _ <br /> Conversion units to 400,OG0 B.T.U. input <br /> Comersion units over 4'J0,000 B.7.U, input _ <br /> Small appliances_�____��__.____.._�____ <br /> � -----_----'---�-- - -� - - --- <br /> , � � �' - - / ���. <br /> Call Back'Inspect�on ___ ___ _ Fee Paid;$-_r.�_,.. <br /> .___. �.. _ 1_ ..Applicant <br /> gy�._ � Ccy .�....�----F��_�I�..��-iiE�sr..,,...,,,f` <br /> �-; --- <br /> � <br /> Plens �pFroved and Permit granted as requested Ilieieiri. <br /> - ----- � � .Jt.`�'�f C/yS:•;' ----.Mspector <br /> �------�-- - <br /> a�� � - � - - - <br /> PERMiT � ` � � <br />