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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance�ivifK-"'' <br />� - City Ordinance <br />,` �,i:" � � � ........�..�i • �/ . <br />EvereM, Washington..:.-----:�Q%�,!...:.`�..� . ..., 19.5�.� <br />Location....----.. �.h. 2.�....1. U!?:=??; -�^ ......................... <br />_ d.• _ ��""�� ,,,, _ _ <br />Owner... � �� `�' -7r �� <br />... <br />, . � !/ <br />Applicant. .�...'�'t �.'.:.1�� \��..�... '..,..�..... .... <br />Rough piping inspection <br />Pipe'in excess of',60' "_' _ Gas Stoves x <br />Gas refrigerators ___ ._ Gas water heaters -. <br />Gas_space heaters to 7U,000 B.T.U.input <br />I� ., „ � - -. . ...._. .... <br />Gas space heaters over 70,000 B.T.U. input <br />�as _.. .. <br />fumaces to 400,000 B.T.U. input <br />Gas fumaces over 400�OO�Q,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 />SmaU�appliances_ �__ <br />_ —___.___-�.�� ---------------j�+-�:•c <br />rT0 <br />Call Backjlnspection -�._.._.._.._ Fee Paid.$.yi��,.,.,_ <br />. ,;..,i.�_�_-�.� ..- - -- �.W..Appliwnt <br />B .. �i`�� ��---�-- - '- 1 c- <br />Ylt-r,--i� ' -' <br />f'lans apjiroved and PermiT graqted as requested }ierein <br />--- ---�-�•_.`.��53li-�!'! ,L:�._'----Inspector <br />BY - ---i��_��1_ -- - ---- <br />PERMIT �d" } ? t ;, <br />