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� <br /> E <br /> CITI' OF EVERETT <br /> Application and� �sas Installation Permit <br /> All Worlc to be Done in Accordance w'ith ! ' <br /> City.Ordinance <br /> , _ . , <br />, Eveiett, Washington,...�:t:�-'.---��......., 19�../. <br /> Lotation.....?.���../.s,��........1.�',( �r:?I!>..../.t............ <br /> Owner .��L�!l�'7'4.......�?'��:L�?5.�........... <br /> � � <br /> . . ..., . . . . . . . � . . <br /> Applicant.............k��.�.: . ....---.......�....--:•............... <br /> � <br /> Rough piping insoection .� <br /> Pipe in excess of 60' _;�,.�.�Y_ Gas Stoves --_ <br /> � <br /> Gas refrigerators ___ __ Gas water heaters_.____. <br /> Gas space heaters to 70,000 B.T.U. input � <br /> Gas spece heaters over 70,000 B.T.U. input <br /> Gas furcaces to,�00,000 B.T.U. input _ <br />' Gas furnaces 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 /> ,, <br /> _ — _._— � <br /> Call Back,lnspection .. __. Fee Paid 5� + <br />' _---_i.�— ///_���,.� _ __Applicant <br /> Qy._. , .�---- — �_ .—.�_ <br /> .� � <br /> Plans'�approved and Permit grented as requested heiein. <br /> i -- ""-�:1l�.J—�'--,i��__ .---Inspector <br /> QY - -�" y�_ - -- --- <br />� PERMIT N� 43U1 <br />