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� �/z, _� �: i , i <br />CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to be Done in Accordance:wilh': <br />� - -City.Ordinance <br />o- i' . • . ; .�. ... <br />• � � ,: , , �� � � �" � . � � •.;� � • <br />Everett,-Washington......... � , / <br />.�z^.�. . . ,........�:., .19:i�f.. <br />,�,/ ,� <br />Location........ �.l... �....l��r� .f ...--•- -�� ::..T.�� <br />- -> �f� --. . . . <br />Owner.......�;i�L,ti.��..._ .-`�c� � ......... <br />� <br />Applic'. , , <br />; � :: <br />� • � ... . . r <br />'�ant4.... ' ..,�.;.,.( !.'.��e-`-i�--..,.. .. .. <br />. . •--'--•^ r .........,. <br />, . , �' -"--.r ..... <br />Rough piping inspecticn _� • <br />� <br />Pipe in ex�ess if'60'�_�� Gas Stoves - <br />Gas refrige,rators ____� _ Gas water heaters <br />Gas space hea�ers to 70,OOO�B.T.U. input ___ <br />Gas space heaters over 70,000 B.T.U, input%����i• <br />Gas fumaces to 400,000 D.T:U. input� ;�>'�_ <br />� <br />Gas furnaces over 400,00,6 ,B,T�U, input _ _ <br />Conversion units to 400,000 B.T.U. input ___ <br />Conversion unifs over 400,000 B.T.U. input <br />Small appliances__ <br />,�' ;, <br />Q nt7 r <br />Call Back;lnspection _____ Fee Paid ��/ ~ <br />y\�� _ <br />'t!�T-- � �� Apqlicant <br />Y ��-- <br />[3 ' . - �� ----- <br />Plans approved and Pesmit,grented as reqaested liereip. <br />.� i .. � '� <br />- ------!'L�Y'� ,Rl' +"tf; C�_ � :�.� ,: `----I nspector <br />�>Y _ �}-- ���. __--- <br />PERMIT N? 4539 <br />