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. __ _._. _, _r'� . <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance�i4ith = ' <br /> � <br /> City Ordinance _ <br /> Everett, Washington:.:::.---../;L.: .. . �" ..., 19,�p, <br /> ,�....:........ <br /> Location.._.....!z� � 7 �-�-k�- <br /> ....... ................. <br /> �--•.......................... .. .. <br /> _._ _�. � l - - -- <br /> �..�-�C.s�.,.. _. <br /> , <br /> Owner................... ... ........................................ .............. <br /> i:-.:,_ .._ . _ <br /> - a . ; ;, _ <br /> Applicant.:.::_::---�--• �- <br /> � <br /> Rough piping inspection K <br /> Pipb in excess of 6�" �.^ " � Gas Scoves __ <br /> ;� : � ; �. <br /> �Gas refrigerarors Gas water heaters_� <br /> Gas space heaters to 70,000 B.T.U, input _ � <br /> �, �,�, <br /> Gas space heaters over 70,000 B.T U. input <br /> Gas fumaces to �00,000 B.T.U. input <br /> Gas furnaces over 400,000_BrT.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 /> _ `l,lrl[� - <br /> , po; � <br /> Call Back;lnspec/t�ion ___.. Fee Paid $\�, <br /> "--"""`-_d Y� �Applicant <br /> ;�—'1' � �_.—__ <br /> By_ _�:�u.r.Az /L4�---- - <br /> P15ns�app�oved and Permit gre'nted as-�equested.Fierein. <br /> - ----�`T';�ru'!�2"_ — -Inspector <br /> BY -- ---- -- --- <br /> PERMIT ���� � � � :� <br />