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� <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance'witfi' '` <br /> - City Ordinance <br /> _. ' ,�: l � ; i� <br /> Everett, Wash�ngton::::.....,�.�::.::.L..:................ 19s...... <br /> >�� � ��t� �:�� <br /> Location..-.--`: � •--.-• ..... . ............ <br /> .................. <br /> _ � <br /> __ _ ....... _. . <br /> �-v_�.,r..�.......r.... �-`z,:.r...................... <br /> Owner.-------./�.:.:..� .. ........ <br /> . , / <br /> �, ��urz e... �.s-��� �: - . . . , .. '�.�E^l'�J <br /> .= i , _ <br /> Applicant:.... 2r-tto,-.:........`.°..... ....�........................, <br /> � <br /> fx�.............. <br />" Rough piping inspection -- <br /> Pipe in excess of 60' — Gas 5toves __ <br /> Gas_,refrigerators -- Gas watec.heaters.�.__ <br /> Gas,space heaters to 70,000 B.T.U. input � _ <br /> .. , r.M <br /> Gas space heaters over 70,000 B.T.U. input <br /> Gas furnaces to 400,000 B.T.U. input <br /> i Gas fumaces over 400�000 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 /> �. � <br /> _. . �--- i .. <br /> �`=�; / � o <br /> Call Back�lnspection _ ----�- fee Paid S_L-- ',.r.. <br /> .�.� . �---_� <br /> . .'�pplicant <br /> By..�..t �� � ui -�-/✓-�_''�--- ,., <br /> L- , — _� <br /> Flans`aphroved and Permit granted as �equested 'Herein. <br /> � i <br /> ' o <br /> `� �L�:��__. _Inspector <br /> -- `L'��— <br /> Q)'- . -- --- --- <br /> ---- <br /> PERMIT I�° 3" ' t; <br />