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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Ac�ordance with ' <br /> - City Ordinance <br /> � <br /> Everett, Washington..:.:::`��!±�....�..........., 19.�..�a. <br /> Location -' ....I...l.o.�..!�....'�_' '. �!... ................. <br /> __..... ..... <br /> ` ) . _ <br /> Owner......:...�!�:!t:.(!:+�- �-,�.. �+z.er>._.- <br /> - ........--- --�- -............. .. <br /> � _ 0 , <br /> Appl ica n t.........!�:��.icw:w...�....��L'�J....... <br /> Rough piping inspection <br /> Pipe in ezcess of b0' __—__ Gas Stoves _ -_ _ . <br /> Gas refrigerators _-__ _ _ Gas water heaters—.___ <br /> Gas space heaters to 70,000 B.T.U. input <br /> Gas =pace heaters over 70,000 B.T.U. input --- <br /> Gas furnaces to 400,000 B.T.U. input _ . _. <br /> Gas fumaces over 400,000. B�T.U, input _ <br /> Conversion uniTs to 400,000 B.l:U. input <br /> Conversion units over 400,000 B.T.U. input <br /> Sma�l appliances___��� -�r- <br /> � ' t� 4 ------- ,. <br /> v <br /> - ---- .. --�-----'�'------------r,--- <br /> Call Backlnspection _ _ .__�.._ Pee Paid $/'�,� <br /> : � i <br /> _ .-i— ---- ---c�---"-/ -----ARplicant <br /> QY.. � � ��7 �c.7 ��. �.�-. <br /> •,- , ._ c.-.,, _ -�------ <br /> Plans'ep'proved,and Pe�mit granted as requested:herein: <br /> 1�/��:���(� � . - . <br /> ----t+u+l'-R�Yy-�-`���—_Inspector <br /> �� _ �h���,. - ----- -- <br /> PERMIT r,T" •'� � <br /> � <br />