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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in Accordance with <br /> City Ordinance <br /> Everett, Washingtori.......K::.?;�;-L.....I.j �( <br /> � /1 ............... 19........ <br /> location..........�r..,�..ls/...�...Q`.{,��(;�P <br /> .......... ..... ....... <br /> � ' ^ <br /> Owner.........,;.. ... ... �.��� i. . <br /> ......�... ........4f'.�.-�rl�!:r:r5:-_�.S{'.v <br /> � . c� : �� <br /> PPlicant.:.�-......�.---...�r��f� . , <br /> Rough piping inspection _—�__ _ <br /> Pipe in excess of 60' _ __ _ Gas Stoves _ _ <br /> Gas refrigerators --. __ Gas water heaters_y_____ <br /> Gas space heaters to 70,000 B.T.U. input _L)_ _ <br /> Gas ,pace hea2eis over 70,000 B.T.U. input __ _ <br /> Gas furnaces 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 /> Small appliances_ �__..______ __ _ <br /> Call E3ack Ins,oection _ ` � Y/ � <br /> —. _.._ Fee Paid 5_J' . ____,_ <br /> __ ----/;� [-�--�-- ---- —_ _ —�7— Applicant <br /> QY-. ..- - �1]JS.s��—_ f�.1.-ZLd ...._, <br /> Plans approved and Permit gYanted as requested heFein. <br /> _�: S. <br /> - - -- - ,. �i�c.,,. . <br /> �� � --"'---.�--'_-..--._ Jnspeclor <br /> j._ <br /> BY - - � - �..�i �'�.. <br /> PERMIT "^ <br />