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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work�to be Done in Accordante :with "-� ' <br />City Ordinance <br />� � 1^ / `' <br />Everett, Washingion....�....' :................. 19:..1.. <br />l�� <br />Location.........�.3 O ,� ��%!�'� .................... <br />. <br />Owner.._ ���L}t_ \�-j¢>1'/L�./ . ... <br />Appl i ca nt.......:..! t�. �.:,C�T....:..- ,�-- ...,. � ...:............. <br />Rough pipiny inspection <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 />...... <br />Ges fum�c::s to 400,000 B.T.U. input __.__ <br />Gas fumaces over 400,OOO,B.T.U. input _—_ <br />Conversion units to 400,000 B.T.U. input _ <br />Conversion units over 400,000 I3.T.U. input <br />Small appliances_—_—__—_____- --_. <br />„ <br />— -- ---r-- --- — — <br />/�w <br />Call Ba:k;lnspecfion .._ __ Fee Paid $^__.___ <br />_�_ �-- �+pPlican; <br />i----' �', ^ . . <br />Q!% � � r C: F'� -.:�' /_L�_ .__�__ _. _ <br />y"_.,Y._"_____"_-_ _ <br />�!ans ;ipproved-and Permi�-granfed as requested he,cln <br />�j * I <br />�-- ---- 1���``�L�� ���=Gr�--'��-�-----Inspector <br />L-- J; ._— <br />�, - -- --�---�- <br />PLRMIT ��' �i�;;`► <br />w <br />