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CITY OF EVERETT <br /> Application and Gas Insfallation Permit <br /> All Work to be Done in Accordance'witli- ��� <br /> - City Urdinance <br /> ' , • ; �. . , 1 <br /> / � <br /> Everett, Washingtdn.....-_....:.... ...... .� .... . 9.6 b <br /> � ��� B <br /> Location..........'3p-���----.......'C'G.............�N.........-- <br /> _ . ..� . ... <br /> � �1 �.. q <br /> Owner............�a`"-cv�n-cL (,( iCJ 4.�a,. <br /> �-�............... ..............................�.. <br /> ,_ . . . ; _ _ _. <br /> Applicant..:�:.........:...... , . � � . , <br /> ....:......................................_....._. <br /> Rough piping inspection �._ _ <br /> Pipe in excess of 60'�__�_-__ Gas Stoves . __ - <br /> Gas refrigarators __'_ __ Gas water heaters._.._.___ <br /> Gas space hcaters to 70,000 B.T.U. input _ �._ __ . <br /> Gas space heaters over 70,000 B.T.U. input _ ___ <br /> Gas furnafes to 400,000 B.T.U. input _—_ _ <br /> Gas fumaces over 400,OOO.B.T.U. input _-____ _ <br /> . , �. <br /> �onversion units to 400,000 D.T.U. input —_ _ <br /> Conversion units over 400,000 B.T.U. input _ -_.__ <br /> Small, appliances.. ..________�__,____ __._ <br /> ,` -. <br /> � - -- --------�-- --- --- -� �����'X-G <br /> Call Back�lnspection _ _ Fee Paid S.__L._..___._ <br /> � : <br /> . ...-� - -� � ---� an <br /> + `�-- - _ ._Applic , <br /> QY- ., , C--�,<_ . `a1'- ._/ /� 'Z �.._. ... <br /> _ ._` <br /> � <br /> i 'ins ap'proved and Pe�mit�i�nfed��as reqiiested herein. <br /> -� � . <br /> � ---- -1�""` ""'ZG.4,�A.... - -- -Inspedor <br /> f <br /> BY..-- - - - /�h��`- - <br /> PERMiT ' ' � <br />