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CITY OF EVERETT <br /> Applieation and Gas Insfallation Permit <br /> AIl Work to be Done in Accordance�wi�h � ' <br /> City Ordinance <br /> Ev�rett, Washington:...:../�y�r.G!,,c;Ct. (�, trb <br /> �j ....... ........... 19........ <br /> Location-.-.----�C_,l-2 I' ' . <br /> S , �.�.,-.� <br /> _.._� <br /> .........................•--•............ <br /> ...--•-----....... <br /> J� / j, _ __ _.._._ ._ <br /> Owner........... � ,� /,,' <br /> .-•-G:..:.?r.t.u:...,�t <br /> �<cw�c�:z�-�-.��.. ._ . . <br /> . _...........-•......................... <br /> __ <br /> . .. .__ .._. <br /> Applicant...............l.:�..'?:.. t _ _ <br /> .............................................. <br /> Rough piping inspection _�_ <br /> Pfpe in exces3 of 60' Gas Stoves <br /> �Gas �retrigeretors._ �s water heaters___� <br /> Gas space heaters to 70,000 B.T.U. input � <br /> : .x ���i� <br /> Gas space heaters over 70,000 B.T U. input <br /> �as �furnaces to 400,000 B,T.U. input ___ <br /> Gas furnaces over 400,000-,B.r U, in ut <br /> �_i, � �..C�, , P <br /> Conversion unifs to 400,000 B.T.U. input <br /> Conversion units over 400,000 B.T.U. input <br /> Small apFliances_� <br /> --_..�.""W'_"'•---------� <br /> ---- . <br /> ----�•-t�--•�_<--- <br /> Call Backilnspection � `� �� <br /> , _ Fee.Paid $ <br /> ,-'*c.- <br /> ` '��--�rf"" "— -�_ARplicant <br /> BYif �'-` , - `-��f=�� �.(��.� --' <br /> .—�_-_____ <br /> Piah��approved annd Pe(r�_it g�anted as requested!Heieiri: <br /> -"Y 1l \` <br /> _ �R� i <br /> �-'��1--_ _Inspector <br /> � ��-�-_ <br /> Qy --- ---�—�3___. <br /> PERMIT *1� ,,;� �� <br />