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e <br />CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with <br />_ Ciry Ordinance - <br />Everett, Washingtcn... �.i�.Y... 3 / � �qt�.� <br />. ....... A_' <br />/�. ,,�, � � <br />Y�v" � <br />Location.....'�... �.0.. �..... . -e- ....... . . <br />.. .--� .......- - --� <br />"y/'Z � �- - <br />.. 1 . �, <br />Owner.....,xa.��..A%f..k: :....� ..../..2... --� ....... .........:.... <br />-r <br />) ;-.�. L <br />� 1. ��:. .......... � .............................. <br />Applicant.....'..:....,--•- .. `� <br />Rough piping inspectir.n __- — -- <br />Pipe in excess ot 60' .__---- Gas Stoves <br />Gas refrigerators ___—_-_- Gas water heaters � <br />Gas 'pace heaters to 70,000 B.T.U. input .— -- <br />Gas sp�ce heaters over 70,000 B.T.U. input — -- <br />Cas furnaces to 400,000 B.T.U. input — <br />Gas fumaces over 400,OOO.B.T.U. input ___ <br />Conversion units to 400,000 B.T.U. input — <br />Conversion units ovcr 400,000 B.T.U. input _ <br />Small appGances _— _— --- -- <br />. _.. --- `- . . ----- -- / �o , — <br />Cali I3ack;lnspection . __ _ _ FeePaid $1 �-- <br />_______Applicant <br />------ (�.� �"_ �_�-Z.-------; :T- - <br />�Y.,, --� _------- - - <br />Pizns approved and Permit granted as requested lierein. <br />.�." / <br />. <br />-- 'F'=' f,l�_r•-�-/'--.-- _ _Inspector <br />;�y�`_ - ---- - <br />L`)' _ . <br />PERMIT � "' �`� a � <br />