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CITY OF EVERETT <br />Applicatiuz and Gas InsFallation Permit <br />All Work to be Done in Accordance'wi+h <br />. . City Ordinance , . <br />Evemtt, Washington ..........:..�:L..�--....------........, 191...%.. <br />• , . <br />Location........._ � � � •• = <br />e.//v <br />................ .....'--....! .. _�vl6'w,F.......... <br />. <br />, <br />Owner ..... _.'S!,41:+^-:......�4c:�ifl-:�.lj�.........-- ....... <br />Appl icant.:......Y.'1..f:.: /..��...........---.......- ..................... <br />Rough pipiny inspection _'r —_ <br />Pipe in excess of 60' Gas Stoves — _ <br />Gas refrigerators _______— Gas water heaters.-- <br />Gas space healers to 70,000 B.T.U. input <br />Gas space heaters over 70,000 B.T.U. input —_ _. _ <br />Gas furnaces tu 400,000 D.T.U. input __ _ <br />Gas fumaces over 400,000.�6.T.U. input <br />Conversion unitr to 40C,000 D.T.U. input _�_ _ <br />Conversion units ovcr 400,000 B.T.U. input ---_ <br />Small appliances_ _ <br />,—.-'_"'�',-n< -----�J- <br />Call Backilnsp�ection___—__ Fee Paid 3��._ <br />: <br />�y,-1 ,: ���' `.—�--Y-- '��----- <br />�� j—' <br />PIanS'Approved and Permif granted as requested Sierein. <br />- _... _ _. ,:_.._._ ---�._ _ _ Jnspedor <br />�' . � % .,. `I . . . <br />B�� _ . �� . . �d•r--��----- -- - -�-- <br />PERMIT N:' ��7��6 <br />