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CITY OF EVERETT <br /> Applieation and Gas Installation Permit <br /> All Work to be Done in Accordance 'wifh - <br /> -. City Ordinance <br /> Everett, Washington. —� <br /> / �7- ��---�--..�..., ,��.. <br /> Location...../o.Q..../..... .. .--.-'%� <br /> . ............................ <br /> Owner_.......�(.[-..u.!... .1..'._ <br /> , �. . <br /> A pp l i c a n t................ . .........�- <br /> Rough piping inspection �.__ <br /> Pipe in exces5 of 60' ___ Gas Stoves __ <br /> Gas„{efrigeraTors ____ ,Gas_water heaTers. <br /> � <br /> Gas space heaters to 70,000 B.T.U, input _�___ <br /> i:; _ <br /> Gas space heaters over 70,000 6.T.U. input ____ <br /> Gas`furnaces to 400,000 B.T,U. input __ <br /> Gas furnaces over q00,000 B.T.U. input __ <br /> .� �, _:� <br /> Conversion units to 400,000 B.T.U. input _ __ <br /> <:onversion units ovcr 400,000 B.T.U. input _ <br /> �mall appliances.___ ___ <br /> ---, ----------n-- <br /> Call [3ack!Ir`spedion ..______ Fee Paid $'� � <br /> —,—.T- <br /> - —_.Applicant <br /> QY:.: , �.,— ------------- — <br /> Plsns approved and Permit 9rented as requested herein. <br /> .. �,` Y---- —. - --inspector <br /> �Y- - -� - -- - .�� <br /> f'ERMIT Z':' �977 <br />