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CITY OF EVERETT ' <br /> Application and Gas Installafion Permit <br /> All Work to be Done in Accordance lwith' " ` <br /> City Ordinance- _ _ <br /> Everett, Washingron.....J.^ �,i.,.�,...I�...,. .19ca.7 <br /> / -� <br /> Location.....��(,�._._�'�� <br /> _ �-�•-�- -� • --•--•..................... <br /> __ _._. . . <br /> _ ....__ <br /> Ownec.......�. .... ..�.--•--�{��:i^cK.�........................... <br /> ,. , . .�• _... <br /> � __-� <br /> _ . ., <br /> Applicant- -..s..;..r..!...:...:.� _ .._ <br /> Rou h i in �^ <br /> 9 p p� g inspection <br /> Pipe in excess'of 60' _�_ Gas Stoves <br /> � <br /> Gas ,refrigcratols ____�_ ,Gas water heaters. <br /> Gas space heaters to 70,000 B.T.U. input _ X <br /> Gas space heaters over 70,000 B.T.U. input _ <br /> Gas fum�ces to 400,000 D.T <br /> .U. input <br /> Gas furnaces over 400,OOq..B.T.U. input ___ <br /> Cenversion units to 400,000 B.T.U. input _ • <br /> Conversion units ovcr 400,000 B.T.U. input _ <br /> Small appliances.__ <br /> �` ,, <br /> __.__� <br /> i . , �� <br /> CaII Back;lnspection ..--_� �Q�J <br /> _ .Fee.Paid$��.� <br /> � . �_"-�_ <br /> ' �-- _��.�`—"�- APPlicant <br /> 3r„- , . �- ��.�' � '�f__ <br /> `,�_.._ <br /> Plans�app?oJed and Permit granted as requested Rerein: <br /> ) <br /> -----�'-�'�. � �- ���_ <br /> � —_Inspector <br /> Bv _ __�_�1L. <br /> PERMIT N� 4��75 <br />