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11 <br />C:7Y OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to bc Done in Accordance wiffi - <br />��ty Ordinance <br />Everett, Washington.---•-.!; -.'�------ /. : - . . <br />........-'---� . <br />.. 19.;- - <br />.,-r: - - <br />� <br />Location...._...`:..::_1.�---�... �. <br />Owner_ ,._.. - �� ....�. ..-.."-----�-----......--- <br />_ .......:........... ............ <br />.......... <br />.................� .. <br />, <br />' �- ^J" ') <br />/\pplicznt..�...�..._.t�/�:.;.:,,i?�� ;.. F.�.: . <br />Rough pipin9 inspection _..,_�_ <br />P�pe in excess of (�p' ___ <br />-- Gas Stoves _ <br />Gas refrigerators _______ Gas water heaters.___ <br />Gas sGacc hcaters to 70,000 B.T.U. inpct _ <br />Cas space heaters over 70,000 B.T,U. input <br />Gas furnaces to 400,000 B.T.U. input _�_ <br />Gas furnaces over 400,000 B.T.U, input __ <br />Conversi�n units to 400,000 6.T.U. input _�_ <br />Conversion units over 400,000 ts.T.11. �npi�t <br />�mall appliances--------- -------- - <br />�� <br />CallBack,lnspecticn _ ' �— <br />- _ Fee Paid y 7r __ <br />� � � �3 �"---- Ppl1canf <br />�Y ; �. ��.� _ <br />�-- - <br />�'��ns �pproved and Permit 9ranted as`requested herein. <br />- ��---"-�"�c'�nF�:�(:.t_� . �., <br />gy f''f" --�--------Inspector <br />�) J ; , <br />PERMIi ;,:" �:� � 5 <br />