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CITY OF EVERETT <br />Application and rias fnstallation Permit <br />AIl Work to be Dune in Accordance'with <br />� City Ordinance <br />.. , �,. <br />Evcrett, Washington... ��''- ���✓ �'"" ✓ Cy <br />� .. ............................. . 19... / <br />��` ' <br />Loca tion...: � �. �^j._.. <br />,R-�-� ........ . ........ . <br />/_� . ............... <br />Owner...4.�[�-g� �R....,,r.., .. . . . . <br />.................... ........ <br />Applicant..::..'..�{^;�� �. <br />................. .................... <br />Rough piping inspettion _ _ _,__ <br />Pipe in excess,ot GO' ,___ ,_;Gas Stoves ____ ____ <br />Gas refriger�ators _________ .Gas water heaters-�p__ <br />Gas space heaters to 70,000 B.T.U, input _. <br />Cas space heaters over 70,000 B.T,U. input _ <br />Gas fumaces to 400,000 B.,-.V, input _ __ <br />Gas furnaces over 400,OOO.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 />Call D.�ckilnspedion _ ._.._ Fee Paid $--��_�'?„_.- <br />--- <br />C'/.� � ' <br />� ='"'�'"- Applicant <br />°����-._- _�_ ---- --�-�_ <br />Plans approved and Permit granted as requesied herein. <br />_ - - ----' - -• --- —'- ---Inspector <br />�Y <br />PERMIi 1':' �4�1� <br />n <br />