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.- - �. _ -_ _ <br /> CITY OF EVERETT <br /> .: Application and Gas Installafion Permit <br /> All Work to be Done in Accordance with <br /> City-0rdinance <br /> Everett, Washingto.J\ . <br /> �r � / . <br /> f,:'hz� _�4 ". V <br /> n.................. ..�.�...----........, 19........ <br /> � � `' <br /> Location �/�-;:•l rr..'r. C ..,..�/ <br /> •--•....... . ............:......!. ......-�-----............----•�--•--• <br /> �,, _ ' , . <br /> i :,: <br /> ---=`-r,---=-�.•. ,• ' `o.-..�_ <br /> Owner......... .--- ...?:.:..........::-.....---............... <br /> �� <br /> Applicant , ' r ' �'�'- <br /> .......:::�'.:'.---�:".t::::...--7��............................ <br /> Rough piping inspection__'��_—_ <br /> Pipe in excess, of 60' -_-_._= Gas Stoves _ _ ____ <br /> Gas refrigeretors _ Gas. water heatcrs._-_ � <br /> Gas space heaters To 70,000 B.T.U. input --____ <br /> Gas space heaters over 70,000 B.T.U. input <br /> Gas fumaces to 400,000 B.T.U. input _--�_ _ _ <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—_—___.--___._________�,�___: <br /> —t - �-�.- <br /> � r, <br /> Call Back Inspection _--_ Fee Paid $—1_—___ <br /> _ _ — _—.___-Applicant <br /> BY-- ..r�� �----�-,`--- — <br /> Plans approved and Permit granted as requested herein, <br /> : � ,, .:.-: _,,�.. <br /> ' " ' ` _---Inspector <br /> . i?7. <br /> BY- - -----'-- -_ ____ -- - ----- -- <br /> PERMIT =� `��� �- <br />