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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordznce'with <br />City Ordinance <br />Everett, Washington..::.....�;�i!�.... / ............. 19.(G'.!�. <br />a �. . � <br />Location .......... ......�.o�.�....N. � -•---�x...... ... •� <br />.. _ <br />Owner .................:.. �..0:�ti'.�.'L....................... ..... <br />� � -,;;,- , .- . 'r"� . � . . � <br />Applicant:.:_.....(� i(..:�'sS.'i�.-�-- --/ .....:.......... ....... - -.. <br />Rough piping inspection __.. _ <br />Pfpe in excess of 60'-______ Gas Stoves __-__ _ <br />Gas refrigerators�� Gas water heaters_X�_._ <br />Gas space heaters to 70,000 �.T.U. input ___ _ <br />. . �;;.r _ . . . <br />Gas space heaters over 70,000 B.T.U. input _—_ __ <br />� <br />Cas fumaces to 400,000 B.T.U, input __. __ __ <br />Gas fumaces over d0,0,000_B.T.U. in ut — <br />;._. �.0 ..ii_�-i P -- - <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 />O <br />Call Qack�lnspection _.�_�__ Fee Faid$_��..'_ <br />r: , ... <br />. ,,.-, _—__-' �/-----r----- ---------APPlicant <br />BY'- -- = ,r '�C! `_-� I'�'-�---' ��--�- �-----�— -----� <br />i �� <br />Plans aopFoved and Permit �ar�ted as requested Fiereiii. <br />� , � <br />.. 1! �' • <br />-- - /` ��! �i�Ti'�'�j��� -- _Inspector <br />/� �) <br />6Y - -t `�C� --_ S�/ <br />NERMIT I�T�' `������, <br />