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CITY OF EVERETT <br /> Applieation, and Gas Installation Permit <br /> All Work to be Done in Accordance �itF��' <br /> , ,y City Ordinance , <br /> Everett; Washin to r <br /> , g n.::::-.--�?!'�--''-'\-'.,`.....(.°.':..., 19..`.'.�P.. <br /> Location....:3.4?.Q�'.....�.b!'�'�......----�.................. <br /> Owner � ��� <br /> , • - -- <br /> i . ���i + � . '0 . . . .. <br /> Applicant..'.... . ✓ i C�w :� � ,: <br /> . , ., ... . ............... I <br /> Rough piping inspection �— <br /> Pipe in ezceSs ob b0'., ��^_.."�_ � Gas Stoves __ <br /> ( , <br /> Gas ,refrigerators —_ Gas.water-heaters�___ <br /> Gas ,space heaters to 70,000 B.T.U. input � <br /> - ..c, � _ <br /> Gas space heaters over 70,000�B.T.U. input __ <br /> , , _ <br /> Gas furnaces to 400,000 B.T.U. input <br /> Gas Fumaces over 40000Q .B;T.U. input _ <br /> ., � .�.�. . ...i. <br /> Conversion units to 400,000 D.T.U. input — <br /> Conversion units over 400,000 B.T.U, input _ <br /> Small app�ianrns_—__—_____.."��__ <br /> — , , ..------ --���_.- <br /> Call Back�lnspection-___—_ Fee.Paid $..�<... ,�. <br /> �.uy �� �=� ------ARqlicant <br /> B ,.-`;Yt�.�.-- �._.�. •w�.-.:<•�--�. .---��__-_ <br /> 'aY -�.•"-� J <br /> f`lens`a�i�iroved and Permit g��inted as requested!Heisin. <br /> - - � .� <br /> , <br /> �_:�i{_ �}�P _Inspector <br /> 6y - <br /> PEHMIT ?��" 4 + � (I <br />