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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance �t�'itk��" <br />_ City Ordinance ____ ._. . .__ _ <br />�' , � '�i y <br />; . '.� , .... • •_.:. <br />Everett, Washingtoni.:.;,��� A ✓� "'+� r <br />.....:....:::..:..... -19 �!1.., <br />Location......0.`..5. �..'�.1. ���.4�^�?C. ......................... <br />__. _.._ .. _ _.. <br />,!` "�� t � ..... _ <br />Owner .............Y....�4:.'.:L'_ tt.d•-�...---...............----------- <br />� Q <br />� � ,.,� , � . . . . . . <br />. .+ �..• . . � �'_ .r . •, i � <br />hpplicant. ---`-•-- -1.: .--*� t� �....:.i:•.,�.. �J. - ...... ...... - <br />Rouyh piping inspecticn . _ . <br />Pip� in ezcess of.,�b0' _.__ _ Gas Stoves _� <br />Gas refrigerators ___ __ _ Gas water heaters —_ _ <br />Gas space heaters to 70,000 B.T.U. input __ <br />Gas space heaters over 70,000 B.T.U. input _ <br />Gas furnaces to 10�,000 B.T.U. input __ ___ <br />Gas fu:naces ov_•r 400,OOO.B�T,U. input ____ _ <br />Conversion units to 400,000 B.T.U. input ____ <br />Conversion`unjts over A00,000 B.T.U. input _ <br />, <br />Small ?PPliances-- ___-------,--- -- <br />v <br />-�—'- . -------- - <br />�� ��....�:. . <br />Call Back�lns��ection ____ Fee Paid $_.l�__ <br />�;, . _ _ ----- — -- _ APP,licant <br />sY.tr �,,:�„__(�_,r� - — ---- --,�— - <br />PfanS approved and P�ecmrt'granted,as requested herein. <br />f'/ j`� � ' <br />., <br />----- - r31<2G �-�c� _ _Inspector <br />ev _ i�" ��I1 '- — U_'- - -- ---- <br />PERMIT T�" " � � <br />