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. � . ___ .��� � <br /> I <br /> I <br />� <br /> il <br /> II <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance witfi"" ' <br /> ` Gity Ordinance <br /> Everett, 'J✓ash �9`�� � � � <br /> � . _ . <br /> ington..... .............:�...---...:..:......, 194iS- <br /> � /� A <br /> Locario,�...:...... .�.as.�--�:...Lr4:-�f.(:.x...r..............�-- � <br /> . . - ; . . . ., .... _. . . <br /> ' „�:: ;� J�' , �.�''�- <br /> � <br /> � ,,, <br /> Owner............. .Y...ti.......-�--��'�--.................................... <br /> , ,, . .,.. x „ ,.. . � , _ <br /> � <br /> Appl icanf:�...:..:.._�:.�.`::.'..�.t'.......... :.. <br /> ............................. <br /> Rough piping insNection �__!1__ _ <br /> Pipe in ex�ess'o# 60' _____ .-_ Gas Stoves _ __ _ __ <br /> , � <br /> Gas refi•ger,�tors _ __ _ _ Cas water heaters.. ._W___ <br /> Gas.space heaters to 70,000 B,T.U. input �_ <br /> : ,_,:, <br /> Gas space heaters over 70,000 B.T.U. input ___ _ <br /> Gas fUrnaces to 400,000 B.T.U. input __ __ <br /> Gas fumaces over 40Q,00�_B�T,U, input _- __ ___ <br /> Conversion units to 400,000 B.T.U. input __ _ <br /> Conversion units over 400,000 B.T.U. input __. <br /> Small appliances�.�.,__��_."__� <br /> --r.---�_. <br /> -- ---•-- .._.f�.___ _ ��__��,.,,iJr <br /> Call [3ack lnspection _—_.___-Fee Paid 5_.�.1 <br /> ��.,.. �: <br /> -.... - /' ----_------_.� --- Applicant <br /> gy,�_,.,.,;C'..-/{• �.-� "�__ // �. !�__-. - -, ------- <br /> ;. <br /> Plans approved and P�rmit granled as rcquested 'h2rein. <br /> _ � �/�".�iF_'1;�_U'„w�-_-�-�=_`---._ Inspector <br /> gY - -�J»�- / ---- - <br /> PERMIT N° ;ia ? S <br />