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CITY OF EVERETT <br />Applicqtion and Gas Installation Permit <br />All �brk to be Done in Accordance'wiEli�F' ' <br />_ ',,W,.i _ _-City Ordinance ___ . ... <br />� <br />Everet ashington.:!��;G a J L, <br />... ......................... .. <br />, 19 ...... <br />Location.. t .�_ �-4-�� <br />......... .....� ... <br />Owner...... .�G.:A-! s,{.t-y�:is7r.:::...�L,�..�..t.... <br />:,, �,. ;. <�_. . . 7 _ �. . . <br />:4pplicant........ ..�.-�.....�1"�-f' �� <br />Rough piping inspection —�� <br />Pipe'in ezcess of 60' -_ Gas Stoves <br />6as ;refrigerators __ �ys water-heaters �_ <br />Gas space heaters to 70,000 B.T.U. input _� <br />iipc _ . � <br />Gasfurnaces ator400,000 B.� U_ r <br />� E'/J� <br />. P B.T.U. input � <br />C,as � , . . .. .... <br />. ihput __ <br />Gas furnaces over 4�0,0�4 B T.U, in ut <br />� �,i i'1.L���.� P - <br />Canversion unifs To 400,000 B.T.U. input __ <br />Conversion units over 400,000 B.T.U. input _ <br />Small� app <br />� -z, i � . �� _,..�---- <br />/.ssa� <br />Call Backilnspection ___._ fee Baid.$_!? L_=_t._ <br />!-1+�-:,�— � ---- �__.�..___Applicant <br />By � �� ���',`�` � 7 3 s'� __, _ <br />� ,: <br />PIan3`�pp�oved and Permlt,gra�Sted as rnquested!herein: <br />C� �, � � <br />- -----�>���C�3 ,�'�10�4 „P� C't'� ----Inspector <br />g1'---�_,%%�� _ <br />PERMIT I�S "�'�;�:�. <br />