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CITY OF EVERETT <br />Applicafion and Gas Installation Permit <br />All Work to be Done in Accordance with ' <br />City Ordinance <br />. � <br />, , ,r, ; /� <br />Everett, Washington ........ ........ ...:....._:........., 196 b.. <br />r � <br />Lowtion......i 1.:!....�..�'..... ` .......:.:..:... <br />............... .... - <br />, . ._ . y. <br />� ����� �L <br />_ � <br />Owner.._"':.7:..4.`�"�J.�.'.�:R::......!..-"--.......... "-'-...... ... .. <br />, �. . <br />� '�, � . ., ; ; _ � .�. �. .� .. . ....... . <br />Applicant.,..:i..'.. �,--�. �, <br />..................... ........................................ <br />Rough piping inspection _L— _ <br />Pipe in excess of 60' . _ Gas Stoves _--- __ <br />Gas refrigerators _-_ If , Gas water heaters ._....� _ <br />Gas space heaters to 70,000 B.T.U. input —�___ <br />Gas space heaters over 70,000 B.T.U. input _ <br />Gas fumaces to: 400,000 B.T.U. input _-.. <br />Gas fu�naces over 400,000 D.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 />- --- — • — _- - - - --u.__,_...__ <br />L _ ��r <br />C,�II Back lnsp,ection _ Fee Paid S_�_ ._,_.__ <br />:.. :�� -� - - _ ^-- _ _ Applicant <br />B�Sy_...�. �.:. - �.L �-,-f_.- ,-� � __ - <br />_ �;- <br />I'fans ap�3ioved and Perir�ii�grented as, requested .lierein: <br />�. r � � . <br />/il <br />-- ---!" {Y " ,,. ,✓����i ✓ Inspector <br />BY. - �/J��---- -- -- - - <br />PERMIF ? �, ,� "„► <br />