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� <br /> CITY OF EVERETT ' <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordancelivith`�`�` <br /> , -City Ordinance . . .. . : . �.. - . <br /> , : . r,. . <br /> . i , .' �� � � �J� � J/ <br /> Everett, Washingron----.....:��•:••.....G•.......,. 1.910.!� <br /> ,f� n <br /> Location........... _`3 � /.•,-----•h��LA..s�.�..u....�...... <br /> Owner .:.�...rC+dv-!�'� .!�'t ' �:�„t�C� ... <br /> ... � <br /> - .�,� �,.�. z., �_. . ., �- _,.� . <br /> Appl icant'..:....\..::......�...:.:.....:l......................... <br /> Rough piping inspection ��— <br /> pipe in excess�of�d0' � -- Gas Stoves <br /> Gas refrigeretors <br /> ' ,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 /> �. . • , _ <br /> Gas fumaceS to 400,000 B.T.U. input <br /> Gas fumaces over 400,OOO,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. app�iances_� - \--�-; <br /> - �� � , -�, i�, .,_ <br /> Call Backilnspection .__________ Fee Baid 5��.-�,:,�- <br /> . . A9plicant <br /> BYr -„'--, .r� /C '� // �I .Z .��I o <br /> t , , <br /> Plans ApproJed and'Permi� g�arlted;as,`icquesfed :}ierein. <br /> L'/l� "1 <br /> =�f �»-^/�=� � __Inspector <br /> -- --- .-, <br /> BY - - - — —!L'—,r,.,� ----- <br /> PEAMIT I^I.' :� ' '� <br />