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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordanceiwith` �' <br />City -0rdinance- - -. <br />^,,, I ` <br />Everett; Washington: �::i:��l.:;ti�::,; ..� <br />....:�......, 1.9�SS:" <br />,� � • . <br />Loca tion........ ...1./.....�. <br />�,�, �� � ... <br />Owner.. ,�l1;/•R�.p�` ����. <br />., ��c > <br />!�� I_. _� <br />npplicant .c.<L `�"�(;,`.�. ( - <br />. .... . .......�--- � �--•-.................. <br />Rough piping inspection _ .___ <br />Pipe in excess oE'60't�` Gas Sroves <br />, , ---- � _ <br />Gas refrigerators `Gas water heaters _�1___ <br />Gas space heaters to.70,000 B,T.U. input __ �__ <br />,�. ,. <br />_ _.__ _ <br />Gas spacc healeis over 70,000 B.T.U. input _ <br />Gas furnaces to 400,000 B.T.U. i <br />nput <br />Gas fumaces over 400,000-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_______.____V____� � <br />� — - -- --- <br />—� �x- <br />Call BackNnspection _ ____ Fee Paid $�?__" <br />1.i iz'T"7` <br />._.._,—_� � -------- -��- -.Appliwnt <br />By.. _ ._:, C r_. , � ,�'-/i,': / %_�._._._._ <br />. -t ,____._� <br />� <br />Pians`approved and peitnit�granted,as requestedilieiein; <br />,J) ' \ 1 <br />_ _ �- W� <br />---- -- ��i�_`_C�'lYd— —Inspector <br />61'------ _ lzL� <br />PERMIT I�i� 3 a �� �, <br />