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CITY 6F EVERETT <br /> Application and Gas Installation Permit <br /> All b;�ork to be Cione in Accordance �wi#h • <br /> City Oroinance <br /> � / , • , ' <br /> Everett, Washington--_---l-"-•--...._�.�.,--- .._..---,. 19.4^_.�. <br /> ✓ f <br /> Location....�.OQ...�o, /�o-eJt. ..'c�f�....���.4`v......... ..... <br /> ._ _ � ...--- �--....:a-4............... <br /> Owner . <br /> A�,-- , ,i a_ ..', � . .. . . ... . .._. . .. . . <br /> p'ptiic�ant..... �.7.�+-:'............:............................... <br /> Rough piping inspection _� <br /> Pipe in excess ot 6G' —__—_ Gas Stoves _ —___ <br /> Gas,refrjgerators ________ ,,G�s water heaters . <br /> Gas space heaters to '�,i100 Ei.T.U. input _�__-- <br /> Gas space heaters over 70,000 �B.1' U. inpur ___—__ _ <br /> Gas turnaces to 400,000 B.T.U. input __ — <br /> Gas fumaces over •t00i00(�..B�T.U. �i�Put _ _ <br /> Com,ersicn units to 400,000 B.'f.U. input .____.—_ - <br /> Conversion units over 400,000 B.T.U. input - __—___ <br /> Small applianc.es. �------------;- <br /> b.ti� - <br /> --I---_ �.. � . <br /> Call Back,li�spection _______. FeePaid.$�— - <br /> ;-.;�_ --APP{icant <br /> By � �.�.�5�-------,--- <br /> :.. Tr�=�-- � <br /> Platis'apWroved �nd Permit granted as requested herein. <br /> ___ y��' ^'-� :;L_:.2;'� _Jnspector <br /> Qy _�__���m.�..��-- - <br /> PERMIT N': 4��5 <br />