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i <br /> CITY OF EVERETT <br /> Application and Gas Installation P�rmit <br /> All Work to be Done in Accordance with <br /> C ty Ordinance <br /> � <br /> Everett, Washington............:�... ........�..'�........., 19`.�-.- <br /> . � - - <br /> Lowtion ✓ S � -`� 7 ) r �,C_�-,.�. <br /> ................��---...--�•----......................- --�-----........ <br /> u;�-G<.�� .! � �.�.��.._�* <br /> � , <br /> Owner........--��---�............................................................... <br /> , � �1 . <br /> Applicant ....�..`�.....T......'.............. .....- _......._............. <br /> Rough p:ping inspection_ <br /> Pipe in excess of 60' ____ _ __ Gas Stoves <br /> Gas refrigerarors______ Gas water heaters ._X <br /> Gas space heaters to 70,000 B.T.U, input _______. .. <br /> Gas space heaters over 70,000 6.7.U. input ___ <br /> Gas furnar.c; !n 400,000 B.T.U. input . _____.___ <br /> Gas fi�rnaces over 400,000 D.T.U; input —___ <br /> Conversion units to 400,000 6.T.il, input _ __-_. _ <br /> Conversion Units over 400,000 P,.T.U. irput ____ <br /> amall appliances---- ----:---.-----. -- <br /> - --- ���-- <br /> Call Back'Inspection ____ Pee Paid 5-_/____ . <br /> .� c.� \ <br /> -- -�-`�E `�' / `-- - -APPIic�nt <br /> B �'��K.�:..y� ��e �ci � . <br /> Y -- ------ <br /> Plans approved a d�Permit granted as requested lio;ein, <br /> �;��� t., <br /> �L.�:1x.t� .�_: . ,n <br /> _- - _ _ ___--'��': = -----._Inspector <br /> BY-- -- - - - ---- - <br /> PERMIT .. . <br />