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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance!with"'' ` <br />City Ordinance <br />Everett,� Washington... <br />Location... �� �7 .Q i <br />�. <br />Owner......�:°.... <br />, .. <br />}�� <br />/\ppllcant.:....:.. �f'� <br />ry <br />:......r ............. .9..��. <br />��i <br />y _....._ --....... <br />. <br />.. .... ........... _ _ . .... <br />;'' � '� o <br />� ..............�. �:. �:................ <br />Rough piping inspection <br />Pipe in excess-of 6C' ._ �, _ Gas Stoves <br />Gas_refrigerators ___...__..�_._ �G�s water heaters..� ___ <br />Gas space heaters to 70,000 B.T.U. input _ _ <br />� � �.I.. .. .. .. <br />Gas space heaters over 70,000 B.T.U. input _ _ <br />Gas furnaces to �400,000 D.T.U. input _�___ <br />Gas fumaces over 400,9��'vB�T,I�, input __ _. <br />Conversion units to 400,000 B.T.U. input __. _ <br />Conversion units over 400,000 B.T.U. input <br />Small, app <br />;:. <br />- ---•-;.--r-;�.�_.��_._.�_. ;r�p-.-- <br />Call Back�lnspection ...__�_.._ Fee.Paid �� <br />. $-v F_._�,_.__..... <br />.- ----- l�pplicant <br />,r `' , � <br />W..�. -- <br />�y.. �__!_�1..'_=:�.._._. ��. <br />� <br />._._ _ -- -- — -,_;.�._. . <br />^!a�s �pproved and Permit granted as requesled herein: <br />— --`'�'=�=�-='^—� -f -- Inspector <br />Cy �' 1� ..��__�'--' . <br />PERMIT Z�' 1���,��; <br />