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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in Accordance with <br /> City Ordinance <br /> Everett, Washington---_....Ct:.�°�..�:5.�.........., 191R.�.. <br /> '.' .., i y� <br /> Location_-�-------`J-4-`�--�0-....11.:^._C"7:1:'.R-61..._........ <br /> _ . . .� <br /> Own?r - ......_ '..`�.�.v::r�t.:7-:.n^�._�.-�,...r..................... <br /> i <br /> , _ . <br /> Applicant....:...........!.� . -.-- .., ,�----.........._...:.....---....... <br /> Rough piping inspection <br /> pipe in excess of 60' ______ _ Gas Stoves <br /> Gas refrigerators Gas watcr heaters._—..-_ <br /> Gas space heaters to 70,Ou0 B.T.0 input <br /> Gas spacc heaters over 70,00� [3.T.U. input _ _ ... —_ <br /> Gas fumaces to 400,000 6.T.U. input __�`•_ <br /> Gas furnaces over 400,000 B.T.U. input _ - _ _ - <br /> Conversion units to 400,000 B.T.U. input <br /> Conversion units over 400,OOO,B.T.U. input <br /> f., <br /> Small,-appliancy5:. . __--__. <br /> s_ c <br /> -- -�-�� '/ --- - <br /> -- , - � r <br /> Call Back:inspection ._ Fee.Paid $_�`��_ <br /> -�-�---.----- A plicant <br /> ---? -- q : <br /> g �_��F `s�. �1.�?_L <br /> :: 7 ---- <br /> Y�--,�,-,-- _ __ _ .�.- - - -1--- -- <br /> plaris`approved and Permit grunted as requestediFierein. <br /> �.� � - <br /> _----��jt' i"���,Sf-'^ = t_1LL`_ -Inspector <br /> �v -- - -�r�--� - -- <br /> PERMIT �?" ''��' " <br />