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CITY OF EVERETT • <br /> Application and Gas Instaliation Permit <br /> All Work to be Done in Accordance.With <br /> City Ordinance <br /> � ; �_. <br /> Everett, Washington......---.�+1.r..5:----.��.........., 19�`:?--• <br /> Location......�.b...�.�....../..�?cet�F+:./...............'--'----... <br /> . p _. <br /> Owner ,�:�C � ����y_ --�............. <br /> . � --�� , ,,,�,..�¢ .. ,,L /;� <br /> Applicant.......-.1'i:�..��:�.�:....1l.Y..�cr....�f'.:�1�.S.i....... <br /> Rough piping inspection —L.'�__._ i <br /> Pipe in excess o4 60' _ - Gas Stoves _—-- <br /> Gas refrigeretrrs . - ---- Gas water heaters___.___ <br /> Gas space heaters to 70,000 B.T.U. input —X�_- - - <br /> Gas space heaters over 70,000 B.T.U. input ____ -_ <br /> Gas fumaces to 400,000 B.T.U. input _--- -- <br /> Gas iumaces over 400,000 [3.T.V, input _—_—__ <br /> Conversion units to 400,000 B.T.U. input — <br /> Conversion units over 400,000 B.l'.U. input _�__ <br /> Small appliances_.__—_�-- ----.---•�-,----- <br /> --------;- - - —.�_- - ---/-�„� .._. <br /> Call 13ack Inspection . ____. _. _ �ee Paid $__�7`:___.___ <br /> _._..—._- ----- - <br /> _ __._-_Applicant <br /> . [ ^ r , ; , <br /> --- `:.= --------�---- <br /> By.. _ ._ _ 't f'.,� a,;i � .�l__ ` <br /> Plans approved and Pe�mit granted as requested.heiein. <br /> •.�� �/ C <br /> . _ --- '�'li&r�Y�,'''a c..G.r{..i%-- -Inspector <br /> QY .< t- � -- _ _ _ _ <br /> PERMIT ',-" •,r <br />