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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AI1 Work to be Done in Accordance with <br /> City Ordinance , . <br /> /� •-- <br /> Everett, Washington:..:..�?:-C,�`�"....�.y.............: 19.�5 <br /> Location......4�.:�..�..�...Sl...t'!4ti........... <br /> ... .. <br /> Owner .�Ju-�-a:4•v(, � `-u..m�,:<......... <br /> .. ... ... . <br /> _ <br /> ... ' � y N ,. . r ..,.. . <br /> Apphcant..::-�--- ���.`.'..... <br /> _ .......!.:.:............................ <br /> Rough piping inspection �_ <br /> Fipe in excess of 60' -�_ Gas Stoves ___ <br /> Gas refrigerators ' _ �s water heaters_____ <br /> Gas space heaters to 70,000 B.T.U. input .�1____ <br /> Gas space heaters over 70,000 B.T.U. input ____ <br /> Gas furnaces to 400,000 B.T.U. ihput __ <br /> Gas furnaces over 400,000 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 /> Small appliances__ _�______ <br /> --- ---- --- -------�,--�— <br /> Uo <br /> Call Back.lnspection ____ _ _ Fee Paid $_�,_ <br /> `"'---- --- --_Appliwnt <br /> if- L-_ .. <br /> BY��— - �� �� <br /> -� - �.�-- <br /> Plans approved and Perrnit granted as requested Herein. <br /> 1 <br /> -- ������ _---Inspector <br /> / <br /> B>' -- --�-� y-�l'-- <br /> PERMIi leT� 35 ^ sa <br />