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f <br /> CITY OP EVERETT <br /> �„� Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> ] , , � <br /> � ,r <br /> Everett, W;�shington..:..F��n:.�`�...-...�..........., 19C::�... <br /> , <br /> , . , :. <br /> � � . <br /> , <br /> � � :; c:.,d :.i .. i <br /> Locahon ....................r.�:...-:.-- ::-•��---..........--� ............. <br /> ' � ..__.^ <br /> . .. .; " <br /> Owner........:;.7 1. ,.: , ; �.r , :r_. <br /> t , <br /> y/ ...........�,:...`._.r........::... ................... ... <br /> APPlicant � � ' ''� ���� � , <br /> � i , t�,. <br /> ......---.c..-:,:..�......................-----�---.............._.... <br /> Rough piping inspection_� __ <br /> Pipe in excess of 60' _ __ _____. � Gas Stoves -._____ <br /> Gas refcigerarors Gas water heaters-___ . <br /> Gas space heaters to 70,000 B.T.U. input � <br /> Gas spacc heaters over 70,000 B.T.U. input — ____ <br /> Gas fumaces to 400,000 l3.T.U. input __ <br /> 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 D.T.U. input __--___ <br /> Small appliances_ ____—_____ _ _____. __ <br /> � -------- � `[:-. <br /> Cali Back�lnspection—._— Fee Paid $-1{- ___+ <br /> '� � __.Applicant <br /> -- -r_-,- - --- <br /> BY----�-f�b ,/Q —� �-- -- --- <br /> Plans approv d and �ermit grented as requested herein. <br /> _ - i <br /> - ------ ��—"T—h=�-1 's'� � -_._. _—Inspedcr <br /> —T— , <br /> dY- � - ----r ,"—��/t--__. - -------- -----. . <br /> PERMIT �� `' ' <br />