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CITY OF EVERETi <br />Application and Gas Insfallation Permit <br />AIl Work to be Done in Accordance wilh <br />City Ordina�ce <br />�_ ^ . <br />'' .: �-' l <br />Everett, WashingTon ...:.......: . . .... . � �. ........., 19b.�.. <br />...:...... . <br />Location.......��.Q.�...t�...t�l.. u:�r........ - ....- <br />_.Q`. I _ <br />Owne r......... �.:!�'^"^� .. .... .. .....��i;�-�-:Y.a..I�-... <br />� , . , , � .��,y ,..� _ _ <br />"} ` ' <br />Appl ieant.........::L� . ....:,e!i.........? ......:........................... <br />Rough piping inspedion � _ <br />Pfpe in r.xFesr of fi0� __'_ __ Gas Stoves _. <br />� <br />Ga,_ refrigeretors _�.-- __ Gas water heaters��.�� <br />Gas space heaters to 70,000 B.T.U. input _-7� <br />Gas space heaters over 70,000 B.T.U. input <br />Gas fumaccs to 400,000 B.l'.U. input _ <br />Gas fumaces over 40Q000 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 />---------- � -------------, �/ .r <br />Call E3ack;lns�ection _ _ ___ _ �-ee Paid $__3 .__..,.,._ <br />,1,� _ _ ,,. <br />8----- - --_.._.------�.— .._..__...Applicant <br />,._ <br />Y- :. -�� �- ��.� � _ --- - -�--- <br />, . <br />plans�approved and P rm`it granted as;requcsted:{ie�eln. <br />��?�II��_ S".r _ _Inspector <br />QY - /�7i�---___-- -- - - <br />PERMIT '��.;: r �� <br />