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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in Accordancc with <br /> City Ordinance , <br /> __ ' -` � <br /> Ever�ett, Washington.---...�.�!�.�.J.r.................. 1912� - <br /> Location.......�'�.. O /S� i,Cecfi�:�.�`.-�'r..�./.... .................. <br /> ........... <br /> � ^ - p <br /> Owner. �--..��:`-{P�s....��p.ot./.................................... <br /> '' ) y . <br /> Applicant..1 _�._trt..:.I?....:.............L...:.�........................ <br /> Rough piping inspettion .�_ <br /> Pipe in excess of 60' __—_ Gas Stoves _ --__ <br /> Gas refrigerelors _—__ , Gas water heaters_..____ <br /> Gas space heaters to 70,000 B.T.U. input �— <br /> Gas space heaters over 7Q,000 B.T.U. input --. <br /> Gas furnaces to 400,000 B.T.U. input ____---- <br /> Gas fumaces over 400,0OO.,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 appliances—_�_�—._�___�_._.__�.�_.. <br /> — ----- ,. <br /> ./�� <br /> Call Back Inspection _ Fee Paid $.,�.—__ <br /> -------- — .-_ ---�Applicant <br /> By_�__ ��--�7�� �"� .---- <br /> Plans approved and Permit�gl,anted.as requested herein. <br /> ���'�"� _ __.Inspector <br /> 4Y - � '✓ -- -- <br /> _ �-�--- - — - <br /> PERMIi Pd° 35��� <br />