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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to be Don� in Accordance with <br />City Ordinance <br />�� r/ �,� <br />Everett, Washington.----...�'.:�'�-.-/............r, 19_...... <br />Location.......cC..l..�..�v.... n�V�?:s-?-�C.----�iL.44-v... <br />•--- �..../...-... JL�S�?'��:�t.�0_J......... <br />Owner.....--- , --�- ... r <br />:. .. /� / � . <br />Applicant.......�� �%:'--- lJ �5�...-�'`�......... <br />.. �`-r'1....... <br />Rough piping inspection — L� —�- <br />Pipe in excess of 60' _ _ Gas Stoves _ <br />Gas refrigeratore _— — Gas water heaters _%� _ <br />Gas space heaters to 70,000 B. ., input <br />Gas space heaters over 70,000 ..U. input <br />Gas furnaces to 400,000 ..U. input <br />Gas furnaces over 400 0 B.T.U. i t -- <br />Conversion unit 0,000 B.. input _ �� — <br />Conversion uni s v r 4G , 00 B.T.U. input <br />Srr.all app��an;es_ ---- ----- <br />----- ---- ------ `D _. <br />Call Back Inspection _____— - Fee Paid 5—.�— -- <br />_ _ __ ___ Applicant <br />----- �� � � � � � --- -- --- <br />�Y----- -- <br />plans approved and Permit granted as requ°sted hemin. <br />"��',�'s�- ___Inspector <br />_ _— 7 -- <br />ev --- - --�--���- -- --- - <br />!'ERMIT A�r 3F.'"„ <br />