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a <br /> CITY OF EVERETT <br /> Applicafion and Gas Installation Permit <br /> All Work to be Done in Accordance with" <br /> : : - <br /> '. � City Ordinance , - <br /> Everett; Washington.---•.-p.a,�:"!!�_-.-...'`�4b..e......, 19�`.. <br /> Location....�� 3 Z .Q�a�x <br /> ......................................................... <br /> _ _ _",�. ,` <br /> Owner.......11.!� � � �U.�"�l�-?.t. <br /> ....... ---�........ ....... . .......•--..................... <br /> u: ,� - :r�� ( <br /> ApplicanR............... � :.!.�W.dk. <br /> .........-,•'.... . . ................................... <br /> Rough piping inspection,— <br /> Pi(5e in excess:bf !SO' _ ` r Gas Stoves <br /> Gas_ refrigerators —_.__ Gas water heaters__.L- <br /> Gas_space heaters tq.70,000 B.T.U. input — _ <br /> � ., . . , : r . . . . . .. <br /> Gas space heaters over 70,000 B.T.U. input - <br /> __ � <br /> Gas furnaces td'400,000 B.T.U. input _ <br /> Gas fumaces over 400,0OO.,B.T�U, input _ <br /> �. �. , <br /> Conversion units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances .- _____�� - _ <br /> Si i :----+' —� --�r----_ <br /> �� oa'' <br /> Call Backjlnspection -�y;�, Fge.Paid.$�.-�.... <br /> �•�,,,,�, ,�� <br /> ,��is� '�^^'^"--�ry-.�"�- ---- APRlicant <br /> Bytt-S3`,=��-`�����_._-'-7�- <br /> I'1�7s`appieved and Pefmit•granted as �e,quested-M��ein: <br /> - - -- �:II��� 1;�—,'^+'" ---_Inspector <br /> QY -- -- -- --- <br /> PEflMIT N^ 41 (1(I <br />