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CITY OF EVERETT <br />App(ication and Gas Installation Permit <br />All Work to be Done in Accordance wifh <br />City Ordinance <br />Everetl, Washington---•---_,(?t;�--'� �__..---.-. 19�?-7 <br />............. <br />Location......�.�g. � �_....�`��.. <br />_ � �:µ/� .� �. .. <br />�,( .. <br />............. <br />�\YI1Bf.......�.:TCt:':�:..i.^...,h:-!A'!:.fv;l" i! � .` .. <br />............ ........... <br />-' ........ <br />� . .. _�.,.) r <br />Applicant :.....:...:..f-S . Yc'�� .� y,�,r � _ _ . . <br />�.,... ..-� ... .. ................................... <br />Rough piping inspection .___ ___ <br />Pipe-in exce+ss of 60',. _____ Gas Stoves ____ __ <br />Gas refrig�rators .__________ Gas water heaters ___ <br />Gas spac� heafers to 70,000 B.T.U. input __ _ <br />Cas space heaters over 70,000 B.T.U. input x/`_L` <br />Gas fumaces to 400,000 Q.T.U. input __�__ <br />Gas furnaces over 400,000 B.T.IJ. input _ <br />;� . - — <br />Conversion uniis to 400,000 B.T.U. input <br />Conversion units ovcr 400,000 B.T.U. input __ <br />Small, appliances______ <br />� - -- ---r- ;. ���__.T,_ <br />CJQ <br />Call Back,lnspection _._� _ Fee Paid � � _ <br />�� -;—,- ----------------------APPlicant <br />: � �7 ( -` <br />BY'.- .���._ �- �Il <br />���n4'ep��ove� nd Pe�mit. granted as requested herein. <br />� _ �''�, � <br />_ _-C� ������--� --__ Inspector <br />°')' >1� � -- <br />PERMIT N:' 4:�t�? <br />