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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance I�iith ^'" <br />_ Gity-Ordinance-_ . <br />Everet ^ � � <br />� <br />, .__ � � , , _.�•� <br />� .�� . <br />t; Washington---'.:.:.:.'r.::��,�:::.,,�,�0.. , 19.`...r°.. <br />Location.....�.�.._�. / �... � -- -�---...... . S/�-�-�-- <br />_ _.. <br />.. ............... ............. <br />� " _ ._ __._ .. <br />Owner ....�' �1b-Y-rii.�vw --- <br />, ,, n <br />.. � j .. <br />Applieant ...'.`R'5�..:� ( i.u.�l�.L.6ea, <br />W . <br />� ......... . ...... ............ <br />Rough piping inspection � <br />Pipe in exces3�of 60' _`�.� -� •Gas Stoves _____ <br />Gas refrigerat�rs .: � � Gas.water.heaters r.%__ <br />Gas space lieaters to 70,000 B.T.U. input <br />\ ,. -. , . _ _____ .— <br />Gas sf • heaters over 70,000 B.T.U. input <br />Gas fumaces to 400,000 B.T.U: input _ <br />Gas fumaces over 400,Op0,B,T�U. input _ <br />Conversion units to 400,000 B.T.U. input _ <br />Conversion units over 400,000 B.T.U. input <br />Small appliances______��____._ <br />-=y�. � __�... �.___ , � � <br />2_____ _.�D� __ <br />�all Qack Inspection __ Fee Paid $� <br />-. - � .. - u-... ; <br />� � _._._ -�.�_._ _Applicant <br />(���� � Y '" <br />� <br />By.. -, , ---_"`�.�i___ �.�.�_.S_____._.....�.� - <br />P1en5`'A�proved and PeTmit;�granted `as requcsted !Herein: <br />- - — - '�'--��-- --Inspector <br />QY-- ---- - - - -- <br />PERMIT �; �' � � �±� ; <br />