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CITY OF EVERETT <br />Application and Gas lnstallafion Permit <br />All Work to be Done in Accordance with <br />City Ordinance <br />Everett, \^/ashir.gton......l...1�?�....._�..._......., 190� <br />�7 � c-r�...v <br />Location.... � �.�..L.-�---�� ....... . ..... <br />..._. �._.. ......_fr�_�. _. . . <br />Owner-----....`.�_ �:::�. .... t.l.SfCCS:ti.r.l.r!�.. _-� �- .................. <br />�.. ..i, ; . . ;.�I. . ._.._ .. ._ _ . <br />Applicant........ ......�.........:=- ...---................---........... <br />Rough piping inspection <br />Pipe in exress ��f 60' __ __ _. Gas Stoves _—___ _ <br />Gas refrigerato�s �Gas water heaters <br />Gas spacc heat^rs to 70,OOO�B.T.U. input _—�_ _ <br />Gas spate heaters over 70,000 B.T.U. input __ <br />6as fulnaces to 400,000 B.T.U. input --- <br />Gas iumaces over 400,Op0_.B.�[', U. input _ <br />� �,� �. <br />Corn•er;ion units to 400,000 B.T.U. input _. <br />Conversion unirs over 400,000 B.T.U. input _ <br />Small appliances._______—____—_— <br />_ ----- -r--- --- <br />O'b', <br />Call Bark Inspeclion ____.______ Fee Paid $�,__ <br />,-•--?— ---APPlicant <br />aY-- �.�z./� �" 3 ��----�'--- <br />, r -; --------- - , . <br />Plan�'ap�iroved and Permit granted as re���.sted herein. <br />,.(- �'-'�,{� <br />_ ���`;'�.�:1�-�'S'�.--- Inspector <br />���� _ �� -ydt-- --- — _ <br />PERMIT �; : ���1��' <br />