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r <br /> CITY OF EVERETT <br /> _,Application and Gas Installation Permit <br /> All Work io be Done in Accordanre�rvi�h'=�' ' <br /> City.Ordinance - <br /> Everett,.Washington..........7.. ..�.a................ ]9.�.I.- <br /> 02 ✓� � /"-`:�-. ..... .:?-C�4<k�..---�--..... <br /> Lo c a t i o n................... ........ .... <br /> ... <br /> _ <br /> _ ..._ <br /> � � � �. /14�C-A.�rx7.�[L........... <br /> Owner.._�°t.. ,-Gk!'�':.,A............. . . A. <br /> L,_. . <br /> ,: , :: �:�:�_. _ _ _ <br /> Appficant......... . �......................................... <br /> Ro�gh piping inspection _�---- <br /> pipe.in excess of 60' -- Gas Stoves _ - <br /> Gas refrigerarors _-- tGas water heaters.l-- <br /> Gas space heaters to 70,000 B.T.U_input ._ <br /> �..,�. �� �n ,.. <br /> Gas space heaters over 70,000 B.T.U. in?ut - <br /> �., _ _ .. . ._ <br /> Gas t�inaces ro 400,000 B.T.U. input -- <br /> Gas fumaces over 400��Op.�,B,T�1,� input — <br /> Cenversion «nits to 400,000 B.T.U. input �— <br /> Conversion unit� over 400,000 B.T.U. input --- <br /> Small,appliances - -' <br /> -- � �_�,---- p pf .—. <br /> �"' i � _ FeePaid $?r---T <br /> Call Back,lnspection __`- <br /> L��—`7 �s+-11L��JB� �/ -APPlicant <br /> 7--'/ Jc <br /> L. i ` <br /> i L/— <br /> QYII-�;-�;�� —"___--.-�-;--- <br /> Plaiis�Apj�roved and Permit granted as reqwisted lierein. <br /> -!i-.�:Fs;i`_i::d '_'_..iY_��--Inspr.ctor <br /> T.� <br /> �y �� ' ��'l�_�i"v,.c''"`'- --_ --- <br /> PERMIT N:' ��b��� <br />