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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with <br />Cit O.d' ance,�-_ <br />�./Oc���^' -.�i'�,� � <br />Everett, Washington..:......::���-d:: �l.... �...^......., 19..5� `S <br />Location.........1,.�..1:(�.x.�t:'.i.J...�.: �cJ.�=-- .+�-� <br />. '.... .-- <br />. .�y_ _ ... __ . <br />1-f..�R� � � <br />Owne r............ ..----:1.-ftl.. ...P...Ad4L--....... _-� �--- <br />� . . .n . . _�. . ....._. ..__. <br />Alicant........_.c.J:..'S.�. n`.�r'� �"- �' ` 1 <br />PP � q ' " <br />.....�F.L ...............""'"....�::..""_ <br />Rough piping inspection _ _.;____ <br />Fipe in exce5s of 60' _. _;_ ,_ Gas Stoves ___ <br />Gas rnfrigerafors ___ _. Gas watec heaters ....__�_ <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 tumaces 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 applia�ces _____�`_____,,,______ <br />- - — -- -- _ <br />- ------- ---<. - <br />Call Badc lnspection ______ Fee Paid �_�'��, . <br />- -._ _ --_ —�— _ . ./�p�plicant <br />— � <br />By:. �. -- �--'�.c.�c_. �, �} - I ' Z- <br />. . . _._' - -lc._..._ <br />Plans approved and FerMit granted as'requested htroin. <br />� -: <br />., �- <br />-'�s-'�.�^'�"J „-.•'.; Jnspector <br />gy �)')1 <br />PERMIT N° ;�`�'��1 <br />