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CITY OF EVERETT <br />Application and Gas Installa;ion Permit <br />All Worlc to be Done in Accordance.wi�h <br />City Ordinance <br />, <br />Everett, Wasnington....:.,(:� �� _�C:� .� � ;'�� <br />-� - -.�..... � .., 19..r.,.. <br />� �.. ..- - <br />Location..........��-/-a---..f ...... ......... <br />_ ................. _... <br />D�i�,� a�-.� _ ,. <br />..... ..._ __. . <br />Owner.........L ��.`.��!C."'_f..l.f-t��.r2iL�--�Cr�.. <br />.. ............. ... ......... .--- <br />� ,� �i7, _...... ._.,-" <br />. . . . , <br />Applicant.:_:......�:1%�l:h./�2!C'7...--.:- � � <br />��--�---� ....... . <br />Rough piping inspecticn _.1�. _ _ <br />Pipe in excess of 60' _____ _ Gas Stoves <br />Gas refrigerators __ __ Gas 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 furnaccs to 400,000 B.T.U. input _— _ ___ <br />Gas fumaces over 400,000 B,l.U. input .—_____ <br />Conversion units to 400,000 B.T,U. input %� __ <br />Conversion units over A00,000 B.T.U. input _ <br />Small appliances. ___._._ . __ _ <br />_-_._. �... . � <br />----- � ---�--- <br />—�-� -_ <br />�7 i-e <br />Call Back Inspection- -__ . Fee Paid $-.__L � <br />�--��----�— � �— -- --� - -- APPlicant <br />BY,. ,.____ �� �� -- -- <br />Plans�approved and permit gramted� es �requested h�erein. <br />/ r <br />{ i <br />_.'-' __�--: �J��j���I�CI�.... . _. _ �r15E10C}Of <br />�V _ . �I ��;7 %� <br />PERMIi : "' ., .. ,. <br />