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CITY OP EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance witli ` <br />_ -City Ordinance� - � . . . <br />Everett, W . , : " / <br />ashington._�,.,�:`:t::�=-'t�-� .....:::....: 19�:J.... <br />_, ., <br />Location....... �..�.�..%. .��....-�- - - • �----�---�----- - ... <br />_ _ � _...__ - . ... . _.._ <br />""- <br />,. ( �� <br />Owne r..........�j!i,�----. �:�......�!�9._..W. rS.�....----_.. <br />Applic'. ,, /��J' r '�2_.. __ . . . . . _ _ , <br />. .ant':.-'.. L.:�7:.�..........�......_----'-'-- ................:......... <br />Rough piping inspection _ __�-_. _ <br />PIFe 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 />Cas furnaces'to 400,000 D.T.U. input __—._- _- <br />Gas furnaces over 400,000 B�,T,,U. input <br />Conversion units to 400,000 B.T.U. input � <br />C.onversion units over 400,000 B.T.U. input __ _— _ <br />Small�appliances -- - - - -- -- - - <br />. . •�-n.______. �'�.Y'...� <br />�� <br />Call Backilnspection __. _.__ Fee Paid 5-:�,—,-- <br />-.�_.. �--------- --- � �APPlicant <br />. — _ �o <br />�u:.<: � Z' i�. 0_�'/ <br />B'/-i- - - _ - -.,: - <br />Flai�s appreved and�Fermit'granted �s requested.hereiii. <br />,' L.-���rt,t;:�f�_ _ .Inspector <br />BY� -� �� _ '�)) - — ---- <br />PERMIT -' ' <br />� <br />