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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance iwitK' <br />\. City.Ordinance _:.� - - <br />� . . ;�:'�-; �,� ci j� ..\ � . . :.. <br />�' /J St-t... `�.�..Z. 19�...7 <br />Evereft, Washington ..................:........................ <br />�ocatwn---�"'.y...:....r.......,�.....:..-.---- �•---------------�----...... <br />/ _.. . _.. .. _ <br />Owner .............G..'�.. �.... ... :1c?�a..rfi"S...r........... <br />... _ _. <br />�(..C'.:'Cc' �._. � .. � - 1, . _.. ' . .. . . . <br />Ann�iranY_i_'_'_'..� "" ...... ......................................."" <br />� <br />Rough piping inspection <br />Pipe in exces� <br />of 60',.-- Gas Stoves <br />Gas.refrigerators �G�s water.heaters <br />Gas space heaters to 70,000 B.T.U. input �— <br />1...;". ��a.__ _ .. '..0 r'_ . .. <br />Gas space heaters over 70,000 B.T.U. input <br />y, , . _ . . _..__... .. . <br />Gas fuinaces to:400,000 B.T:U. input <br />Gas fumaces over 400,Q00_�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 />Smal�, appliances_ <br />�_., � � �,; <br />f— -- <br />�.all Back;lilspecti � � <br />�c.: <br />on _------- Fee Paid �y_—E,,,,, <br />;�ns� ,--- <br />J�pplicant <br />B�� ,. -- ---------- i o <br />�lan§ �pproved and Per''t granted as fequested herein: <br />� �. _�,_;.___Inspector <br />_ � � <br />QY — — - �1 ?�"_ — <br />PERMIT I�':' �`�'73 <br />