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1 <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> �� � , / <br /> Everett, Washingten......��.�:':�v.:�...z........., 19b.G. <br /> Locati on---....��...��..-al.._�.. . ...... <br /> Owncr.......- -��--�����-c.�'r.`.�':SG�,.�,....................._ .... <br /> _ `p' Z _- <br /> 1,,,' . <br /> i <br /> Applicant...........L. �, .. ..... ,�........f:.�.__._....._...__.._. ; <br /> Rough piping inspecticn �_ . . <br /> Pipe in excess of 60' .. -_ Cas Stoves _ _ <br /> Gas refrigerators ... __.__._ ,Gas watcr heaters _ _ _ _. <br /> Gas space heaters to 70,000 B.T.U. input _ __f� _ _ <br /> �_as space heaters over 70,000 B.T.U. inpuf _ <br /> Gas furnaces to 400,000 E3.T.U. input <br /> Gas fumaces over 400,000 �'.T.U. input _____ <br /> �cnversicn units to 400,000 D.T.U. inpc' _ <br /> Conversien units ovar 400,000 B.T.U. input <br /> Small appliances________ _�__.- ___. <br /> ------- --`� �,-- <br /> Call Back:lnspection. __ _ Fee Paid 3_L_.-__.. <br /> __..-.� -'----APPlicant <br /> ---- --__ <br /> �,.. ._ , _�L�6- ------ - - <br /> i'lans �pproved and Permit grented as requested here:n. <br /> f� <br /> _ -'`���� _ _Inspector <br /> G` t��/J�. �' - _ _ <br /> PERMIT :�'" ���``�:� <br />