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4 <br /> CITY OF EVERETT <br /> Applieation and Gas Insfaliation Permit <br /> All Work to be Done in Accordance with " <br /> _ City.Ordinance . - : - <br /> � ; . ( <br /> , � <br /> i ' ` <br /> n ,,- ]�j � � � <br /> Everett, Washington.........�:./..4�!.V.......�... ....., 19..�.°..� <br /> Location...........1��..T--�--- -� --... ... .. <br /> ................. <br /> Owner.............r l.C�u-l'.G........................ <br /> . ............ ........... <br /> i :;�u��� r,.. .,1 ..il , � ��,��;•� - �g.�i . . .. . <br /> �1ppl ic�ant....:.:.....\.... .,......r',.`t7:!`.?�-��................... <br /> Rough piping inspection � <br /> Pipe in extess of 60'; ' "�" Gas Stoves <br /> . <br /> Gas;,refrigerators � EGas water heaters. <br /> Gas s ace heaters to 70,000 B.� _ . input X <br /> P _...... <br /> _ _ T. <br /> Gas spece heaters over 70,000 B.T.U. input <br /> , _ . _.. <br /> Gasrfurnacea to 400,000 B.7.15. iriput <br /> Gas furnaces over 4�0��0_.B�T�j inpui — <br /> Conversion units to 400,000 B.T.U. input —_ <br /> Conversion units over 400,000 B.T.U. input _-- <br /> Small appliances__ <br /> i c..� . . . _- , - ��,�,�— <br /> Call Backjlnspection _. Fee Paid $i�;�.i <br /> � .,.�i /J �./ <br /> _.�Applicant <br /> ¢Y I I 3'•�I'_" " `���'� L_---�"--- <br /> PIaH��apNroved and Permit granted'as �equested herein. <br /> _���' . �. . '� —_Inspector <br /> dY-- — ----�L�. _ <br /> PERMIT N:' 44�►4 <br />