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It <br />�i <br />CITY OF EVERETT <br />Appiication and Gas installation Permit <br />AIl Work to be Done in Accordance with <br />City Ordinance <br />-7 • = b � <br />Everett, Washington.. ----.--�.�-h�........". ....---..., 19... 7.. <br />� <br />Location...�1.. � �..�'�....---- /--..... .. ' <br />/�] --' ....... ............... . .-.......... <br />O�vner...._:`..�!iC.�..._ �:."".... ."':`.....--'. _.. <br />-.""'-' ............... <br />Applicant.._/.!_d�..._ �Ld.... .. ,�`�'.... �.-_ . <br />Rough piping in;pection <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 furnaces to 400,000 B.T.U. input ____—_ <br />Gas fumaces over 400,OQ0. B.T.U. input _ <br />Conversion units to 400,000 6.T.U. input <br />Conversion units over 400,000 B.T.U. input _ <br />��rcll appliances_-- _ <br />�� , <br />Call 3ack,lnspection__. __ FeePaEd $ / —_ <br />---�"-� "r`""' �Itw(°'i' "`----�PPlicant <br />{ --_�� , <br />u/ �_----__ <br />_.. ' r�^ '___'_ _' <br />Plans Appi9 ed and Permit cranted as requestcd herein. <br />_ ._ ��'�'.�'__�_t..__'::u 'L____Inspector <br />�% . . - � - � -- - - ____ . . <br />PERMIT ti`� 49!�€; <br />