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�/ <br />CITY OF EVERETT '' <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance �vith <br />City OiJinance <br />�.+' �i� — <br />Everett, Washington :::::.......... . ...�?..........., 19.{�.s7. <br />Location.....� �.��!�.'..� ��.� ....................... <br />Owne r..........S.dS<!Cnt.�......1%.:P+!�P.: b:!!� ................---.... <br />.. ., �.,> 'r ..� ._ ` _ - . _ .�. <br />Applicant.........� 1..� ::.�.. .......... <br />.:......:....... ................... <br />Rough piping inspection �--- - <br />Pipe in excess of 60' _---- Gas Stcves __ ---- <br />Gas,. refrigerators -_--- -• 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 furnaces over 400,000 B,T.U, input __-- - <br />Conversion units to 400,000 B T.U. input _ <br />Conversion units over 400,000 B.T.U. input --_ - <br />___._._ .__.�_.. <br />Small �PP iances__ .4-�-------�---�- , .� . <br />_..�� __ _.- --.----rJr.•--. <br />--- �- - - ,� n-o <br />Call Backlnspection _---- - Fee Paid �._i- o -, <br />._. _ � .ApRlicant <br />�.�...- - --- <br />..:,�._._-�_..._._..`---- ,.. <br />. i� / ,r- 1 �- ( �, <br />"�:%C�c-�--�� - _1.1 � -J _._..J__.-- <br />BY; „ , ,. <br />Plans-app�oved and�Permit�gran4ed as requested:liereiii. <br />� � ,,� � 1+�-� �' � __- -Inspector <br />- --. __ ` -�-- <br />�y _ . ..C��11�. _.-� - — -- - _ _ <br />PERMIT ?t." '' �`'-' <br />