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CITY OF EVERETT <br /> Application and Gas Installafion Permit <br /> AI� Work to be Done in Accordancc��vith " <br /> City Ordinance <br /> ;, ��} , . . . _ <br /> Everett; Washington::.:.::�,y�. � /�""� <br /> .. . .:. .. ...�,.........,. 1 g 4..... <br /> Location.........��..�.X`..../�L?�-r....--- <br /> ��� � f �' ....... <br /> Owner .,, _ <br /> , , u�+1 .... . .. ......... <br /> A!' i� 9 <br /> PPhcanL.i � l. �--�--t�i.........- . �.. .. <br /> Rough piping inspection �__ <br /> Pipe in excess 'of 60' _____ Gas Stoves ___ <br /> Gas, refrigerators ___ �5_�yater heaters__.�_ <br /> Gas space heaters to 70,000 B.T.U. inpuT � <br /> Gas space heaters over 70,000 B.T.U. input <br /> Ces�furr,aces to 400,000 B.T.U. input ______ <br /> Gas furnaces over 400,000 B.T.U. input <br /> Conversion units to 400,000 B.T.J, input <br /> Conversion units over 400,000 B.',',�', input <br /> Small appliances_____.� <br /> � ---� . c: �,' <br /> Call Backr'Inspection..__ Fee Paid � <br /> . $�.,� <br /> - . _�---L-- tA plican' <br /> �, -----_� ���_ 9 t <br /> BYt -----�`-t1t.s..��_1.Ls?L�___ <br /> � � ` <br /> Pfans approJed and Permit;g���,ted as requested }ie�ein: <br /> �;�� � <br /> ---- ��'z�.� l.�i-�y�{2ifL-- Inspector <br /> ��r <br /> 6>' - — - �1--�n.�_ <br /> PERMIT �� �r��� <br />