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CITY OF EVERETT <br />,,,ppplication and Gas Installation Permit <br />,� ,. ,� All Work to be Done in Accordance'�4{th'�""' <br />r.,.' �" , , City, Ordinance-- - -t; ; <br />� �� . , � <br />/'1,, 6 i� <br />� , .� 7... .;., , 9 6�-- <br />Everett, V��shington:.;:..�4h ....�]�'�G}�., .'. ' -. <br />,2�2.�.� t.;2:��.�'��k`�.-L...- <br />Location � - - <br />_ _ ��.0 �� %��n�.-� � _... <br />... <br />Owner. /� <br />� ,�u;��c . �` ' �%+l,R . ('� -�. <br />. .... <br />Appl icant..'......1 .... kh!✓.�. <br />Rough pipiny inspection �i�� <br />Pipe in �zG�ss'of 60"�--1�- Gas Stoves ___-- <br />Gas:-_refr,igerators _ — --- ,Gas water heaters..�._..._... <br />Gas space.heaters to 70,000 B,T.U.input _�,-- <br />1� - 6M <br />Gas space herders over 70,000 B.T.U. input _---- <br />Gas fu naces fo �100,000 B.T.U. iriput __ -- <br />Gas fumaces over 400�OQ0-:B�TGU, 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 />Call Back'Inspection _---- Fee Paid 5���-�-f,=„r�c�r <br />-- _--- - - _. APPlicant <br />+�-�`+• --- � <br />� Cy `.. . , _. ___. ��._,�._. <br />_Yii-c��r------"— <br />— - -- �- � i'- <br />Plans`appro��ed and Permif grar�tcd as requested H�ieih. <br />— - ._�s'L����'y� �r, - -- -Inspector <br />a FC m _ -- _ _ <br />Y- -- - -- — <br />PERMIT I��`.' �:'i'�; <br />