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CITY OF EVERETT <br /> Appfication and Gas Installation Permit <br /> All Work to be Done in Accordance t2�ittS <br /> City Ordinance - <br /> Everett, Washington:--:.---:��.:--� .C�.::.:........ 19�.�. <br /> Location------.-..-._/�..a.-S�....:......... � ---�--.....--- <br /> . . . ,. 7. . ._. ...........:.. <br /> Owner-----....._-.�.�,:``._/.42!e-----��-•---" �{="�_"••"'�'............ <br /> (/ _ _ _ <br /> _ . <br /> Applicant._._..._'� Y�.:..._�:..._..�..::.:....b......---' <br /> Rouah piping inspection _--_ <br /> Pipe in excess of 60' __ Gas Stoves X___-. <br /> Gas refrigerators _ ,G�s water heaters __ <br /> Gas space heaters 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 furnaces over 400,000 B.T.U. input <br /> Conversion units to ��00,000 D.T.U. mput — _ <br /> Conversion units over 40U,000 D.T.U. input _-- _ <br /> Small appliances-.-- -- ---- .---_----__---- .. <br /> � —� —.—'-� ----------""T+r,--<:- <br /> a6 <br /> Call Back,lnspectien -___�___ Fee Paid 5._—,,._,_... <br /> - - r - - -_ Applicant <br /> QY _� _�"'-...`.�-��.�_`_ . .---. ._._I."""""--- <br /> Plans ap'prcved and Peir�iit granted as rcGuested:Fiemin. <br /> � <br /> 7 <br /> ----_ --��' "��.- �----Inspector <br /> �}, r y,� _ <br /> PERMIT _�r^ =��' ��� <br />