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ClTY OF EVERETT <br />Application and Gas installation Permit <br />All Work to be Done in Accordance with <br />, : y <br />Ciry Ordinance , _ <br />Everett, Washington.....�!�:C! ....'.Z. -'.-,'..........., 19..'D1.. <br />Location...9/."�...'� �. �.....Il..� (rtt.[..�!S.r .............. <br />t� '/ � <br />Owner.......--�...... .... ��r.r..� ........................ <br />. <br />..__.... .. <br />Applicant.. - ..��{..�.'.:5�(.._.' ...:................................. <br />Rough pipinc� inspection _.— ----� <br />Pipe in excess of GO' ___- ,- --_ Gas Stwes �. <br />Gas. refrige[ators __.___ __. - .Gas water heaters __ <br />Gas space heaters te 70,000 B.T.U. input _ <br />Cas space heater, over 70,000 B.T.U. input — <br />__ .. <br />Ga's tumaces to d00,000 B.T.U. input _ <br />Gas furnaces over 400,000 B.T.U. input _-__— <br />Conversicn units to 400,000 B.T.U. input _ _ <br />Conversion units over 400,000 B.T.U. input --- <br />Small <br />iJ'rd - <br />Call Back;lnsp,ection ._ __—_--- Eea Paid S_/ —.--- <br />__ _. <br />-� _ Applicant <br />. . � --------'-' --- <br />i <br />aL��r,� .�. - --- <br />Plahsapproved and Permit �rar:ied as requested heroin. <br />l'�}i-7'r' � <br />. _ � -��,^����__ ����.:- _ _ Jnspector <br />'�y p�i�� } �'_--. - - --- - <br />PERMIT :� :' ��'� � � <br />