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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to bc Done in Accordance'wiiFi"'0L <br />� City Ordinance ; <br />Everett, Washington.:::.::--�?'::�:•-=: �/..:...:•...; 19.p.lR <br />3 � �..1... �-�- ................. <br />Location -�- -- " - - <br />� , ���� .- ... <br />Owner... �"°"-� `.. n" _ _ <br />�-y � C�O <br />qpp I ica nt..........,l. �.... /.:.;.. L.� ............. : .. ... <br />Rough piping inspection �r <br />pipe in excess of 60''- Gas Stoves <br />Gas_.refrigerators _--- � G�5 `�'ater heaters � <br />Gas_space heat rs ro 70,000 B.T.U. input _, ,_— <br />� ,... <br />Gas space heaters over 70,000 B.T.U. input -- <br />Gas furnaces to 400,000 B.T.U. input �— <br />Gas furnaces over 400,000�6;�•U, input — <br />Conversion units to 400,000 B.T.U.input <br />Conversion units over 400,000 [3.T.U. input - <br />Sma,ll; appliances_ ----------- , , ' <br />�,� <br />Call Back,lnspection--=-- - Pee Paid 5,� t-,-r <br />--.----_ --�A9plicant <br />--;'-r <br />BY- ., -.+ � --.--- ------ �'-- __,-7 � -.---- <br />Plans`ap'proved and Pe�mit granted as requestedihe�ein. <br />�,. % ii. r, 1)K[)-__---Inspector <br />-- <br />bY- - -- - ------- - <br />PERMIT ��° �'' '^�" <br />