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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance'wiTh` <br />City Ordinance <br />Everett, Washin ,ton: . ......:..�. -< + S <br />g - - 4°;.:...:..�.........., 19.�:...� <br />Locati�n.........�..�.�..�..�--�-.i.�i.+:c,:� /c,t�-1�.��1..� <br />Owner --.....� �rt +-:C.O,-�+I"a!-?i-� � ..... ... <br />Applicant._.:...... -�{; 9�: �' . _ <br />..................-.`:.....�......:,................ _ <br />Rough piping inspection _1�_. <br />Pipe in excess of bG' _<_.--_ Gas Stoves ___ __ <br />Gas refrigerarors _ ___ __ _ _ . Gas watec heaters .____._ <br />Gas space heaters to 70,000 B,T.U. input ___ __ _ <br />, � _ <br />Gas space heaters over 70,000 B.T.U. input _. <br />Gas fumace5 to 400,000 B.T.U. input _. <br />Ga; fumaces over 400,000 B.T.U. input __ _ _ <br />Conversion units to 400,000 B.T.U. input � <br />Conversi�n units over 400,000 B.T.U. input __ _ <br />Small appliances_._.�_...____�._________�__._______ <br />------ -.—___�._�-0.,_ <br />Call Back,lnspection —__. u_. Fee Paid $__.,L.,� ,__ <br />.�;-- . .._ _�.-.�.�.� _ �_�.�_ _ Applicant <br />� <br />BY71�.._..- —�=/te i��__'�...l�.L.�_.f �_--...�—.__...._. <br />,� <br />Piaris approved and Permtf graiited;a?,requested!He:ein. <br />` , <br />���:�,�,^..!-� ��-,y•C4 �. . <br />..____-(a...i.,rli..'���(�::LLj�_._JR.____ ..I/15�J0C�Of <br />Y- __ __.- , � _ _ __ _ _. - ' ___- _ <br />4 . Ll _ JL. �. <br />PERMIT P�:� ������; <br />