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CITY OF EVERETT <br />Appiication and Gas Installation Permit <br />All Work to be Done in Accordance with'- <br />City Ordinance <br />,� � 7 � <br />Everett, Washington:..:....�.6.�h:...l .:............... 19 �'!2. <br />-� � a �- <br />Location----" o`-"...�.�...l.. . .. ..- ' ............................... <br />. .. ..._ _.. ..._ <br />Owner.......�.�. R��-�:�'.... �r.. j�.:P--�--..---�------- <br />_ -,-�i� .�, ,-�fp <br />Appl icant.--.-�,rt.l.l. _.143r.A..---.y.�!ir'.:.e .............. <br />Reugn piping inspection �` - <br />pipe in excess' of 60' __—_ _ Gas Sroves _— --- <br />Gas refrioerators _--- Gas watec heaters __ _.._ <br />Gas space heaters to 70,000 B.T.U. input ._h-- <br />Gas space heaters over 70,000 B.T.U. input -- -- <br />Gas furnaces ro 400,000 B.T.0 input - <br />Gas furnaces over 400,OOO.B.T.U. input -- <br />Conversion .inits to d00,000 B.T.J. input <br />Conversion units over 400,000 B.T.U. input —_ <br />Small appl <br />-- ----�-'".�_ _----------� _' <br />-- �.. _ . . � <br />Call Back'Inspection .._��.._._ Fee Paid 5_��.Y _--- <br />. _,...,_`.--�-- - ---�------'-'�.�__". <br />..Applicant <br />� �i �� /. 11 � �' 1 � . <br />By.. _..�,lii.""-�-k --- --l'1-'�-._-� -�____.._.------- <br />Flzns�approved and Permit grarited.as rcqucstAd�r:�:;���. <br />--- -5�11"-�'-^=t_`J_�__-� '- --.Inspector <br />� <br />D), _ _ � �''� _ - - - __ <br />PERMIT �y" ?w ` s�� <br />