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CITY OF EVERETT <br />. Application and Gas Installation Permit <br />All Work to be Done in Accordance'with'" ` <br />City Ordinance <br />. . 6 C'� <br />Everett,�Washington.........�:�...�7....., 19....... <br />Lowtion....... �..l..P.�. �..... .1.eI:.4.�.t�. ........... . . <br />__ ._ . __ <br />��+ 1�� .............................. <br />Owner ................................. '--........ <br />�,�� .�, <br />_. <br />�' <br />Applicant .....:........................ .......................................... <br />Rough piping inspection —�-_-- <br />Pipe in excess of 60'.�-- - Gas Stoves _— — <br />Ga;.-refcigeretors _____ _— ,Cas water-heaters.u.__—_ <br />Gas_space heaters to 70,000 B.T.U, input — <br />.-.� <br />Gas space heaters ovar 70,000 B.T.U. input <br />Gas fumaces to 400,000 B.T.U, input — <br />Gas fumates over 400,0OO.;B�T�U. input �/ __ <br />Conversion w�its to 400,000 B.T.U. input __L� —. <br />Conversion units over 400,000 B.T.U. input <br />Sir�all aPPliances__..___. --.----------- , - <br />----i -,---*--�----- ------��. �� � <br />Call [3ack lnspection . --_� �- - Fee f?aid $`��;;- <br />�-5=-`'1 --'--- - -- �- <br />� _�, . _.__W__A�p�lic3nt <br />[} c� � � ��_ � .Ll �?' � <br />`..Yii �'�i _ _ "---�.�.---' <br />pl�ns approved and PeCmit granted as requested Ilierein. <br />;`,` <br />-�/ :�ET <br />�°�,..___-_: �,': ' . _._ JnspecTor <br />- --- �`- _`•. <br />4Y' �1�� � � �- — ---- <br />PERMIT '_�I:' �s ` 1 <br />