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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance fwi{Ff•-�� <br /> _ _.r.,_.Citx O[di�nce r <br /> '_' _ - � <br /> ' , . ` �_ � <br /> Everett,.Washington....�f �-� <br /> � . <br /> , •--•-�--� 1 <br /> 9 :� <br /> '.-•-••---•-•-•-- <br /> Location.rr.c_. Q. � <br /> � ./. .. ,S`� �......�..� <br /> _ __ _ ;�,. - =-{-e-�----�--..... <br /> _..,. .. r-,.. � -` <br /> / / __ ')... <br /> Owner �( .� <br /> J'?�1 �L ..... . .i �kS�S.�! <br /> � ...... <br /> Applicant . ;� ,Z�� :. . .,, <br /> .._ �1 .. (" <br /> : � _ . _ <br /> . ...... . •-----1 � <br /> '. � . .. .....R.....""" .... <br /> Rough piping inspection �__ <br /> Pipe:in excess, of 6 ' <br /> : . ; • : � --�=- Gas Stcves _---- <br /> Gas?refrig��rators _____ Gas water.heafers <br /> � �:.� <br /> Gas space heaters to 70,000 B.T.U. inpu� �_ <br /> � , , <br /> Cas space heaters over 70,000 �B.TU. input ___ <br /> Gas fumacfs to 400,000 B.T.U. input <br /> Gas furnaces over 4ppppp V <br /> �CaGl.CfToBt.Tp�, '"Put _ <br /> Conversion units to 400,000 B.T.U. input <br /> �onversion units over 400,000 B.T.U. input _ <br /> Srr�all� appliances__�, <br /> — �__�_ . . <br /> Call Backlliispection . �1 � <br /> . : --------- Fee.Paid $__��__J 1 <br /> `�, ,�-�-__�, %—__� APP.�i�ant <br /> �y _L G<c L =-r'r ,S _ <br /> � " �, r - _ �� <br /> Pl�nsap3�oJed and Fermit;gren(ed•as requesled hrreih. <br /> �/ / . <br /> -------�]ilJcLs��_...d- .,�... . _Inspeclor <br /> -�Z�`— — <br /> °Y - :l�2-/�'t., <br /> P�RMir iv� ��7zi <br />