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CITY 6F EVERETT <br />Aprlication and Gas Installation Permit <br />AIl Work to be Done in Accordance with <br />.:ity Ordinance <br />/ �i �-7 <br />Everett, Washington... ...G� ....................... 19.i../ <br />Locafion..4 7o y% '�'�' <br />........................... ......................... <br />0 w n e r.. �,/,t,rr�.e.'�.-t...-. �........Gl..� ..�1�-!..-� <br />ll _.. <br />Applica nt....... �!... K.ti,� ............................... .............. <br />Rou;h piping inspeetion _ x _ <br />Pipe in excess of 60' _-. __ Gas Stoves ___ __ <br />Gas refrigerators _.____. Gas water heaters _--_ .__ <br />Gas spacc hcaters to 70,000 B.T.0 input —�_ /� <br />Gas space heaters over 70,000 f3.l.U. input _. _ <br />Gas furnaces to 400,000 B.T.U. ii•,put —__ <br />Gas fumaces over 400,000 B.T.U. input _ <br />Corversion units to 400,000 B.T.U. input <br />Conversion units nvcr 400,000 B.T.U. input __ _ <br />Small a �r/cej�� ____ �7� __ _ <br />✓ -io+ r —_/ � —' <br />---- - /-� � � - �^ ---- <br />CaII�Dack,lnspeclion _____._ Fee Paid S��Z�oo_ <br />,--.:... -- ----_APPlicant <br />aY-r --- -- -- -------- --- ---� - -- <br />�, . - � <br />Plans a�.proved and Perm�t granted as requested IYnrcin. <br />_.'___,�._.. ___.—_ — —. _�nS�Cctr,r <br />P-, <br />`� _ _ _ _". _ _ __.—' _. <br />PERMIT . : ?':�°i;' <br />