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CITY OF EVERETT <br /> Application and Gas Installafion Permit <br /> All Work to be Done in Acwrdance�wi�h�`' <br /> ---�,-. . City Ordinance <br /> t� :.' _ % `\�`n �. �. -�"i_ � <br /> A <br /> Everett;-Washington::.::..:Q .�. :.r.`r.d.._-. ,� i9�� <br /> ^�:... r <br /> � /,� � <br /> Loc a t i o n.........�.P...........V�:4t.G�.._.p. . <br /> �Z ...._s��-f...3..... . <br /> -)'Y�.a.�.�. .4-�,.�,.�,a- -� ............. <br /> Owner................................ . . <br /> -�� .�. .._ _._ . _ _ <br /> �;�"eu�:Y�-��'� -y , . ' <br /> Appl icant...:...�::::..1r..1�!:'.�....�.....-............................. <br /> Rough piping inspection ^—- <br /> pI�2"in �x�ss-'oY60' ----- Gas Stoves _-x--_ <br /> � � <br /> Gasc;re�igerarors _---. ;Gas water heaters. __ <br /> Gas, space heaters. to_70,000 B.T.U. input �_-_--_- <br /> ;,.: . i�P:� . . . . . <br /> Gas space heaters ove� 70,000 B.T.U. input --— <br /> l�� _ . . . _ _ ... _ <br /> C,as fuFnaces to 400,000 B.T.U. input•___ _--- <br /> Gas fumaces over 4QP�Q�O�.B�TtUy input .__ -__ _--- <br /> Convr -.'on units to 400,000 B.T.U. input _—__ _. _ <br /> Conversicn units over 400,000 B.T.U. input _- <br /> Small.caPPliances--_- — ------�;, � - _ <br /> , _... . _ �,_ <br /> v4. <br /> __��� �� <br /> Call Backiln:pection _:__-__ Fae Paid $_.�-a�:,.�>.�: <br /> -. - - . ---,.,_..Applicant <br /> ;:!- ---/—� -- ,c <br /> �!t-c (� 4n` /O�Y ��/'� <br /> By ..�::, . _ , — . — _ _ _ _t�,' - <br /> t t -� <br /> �., <br /> Plafis'a�3aroved,�and�ef�nit granted as�reGucsfed FErein. <br /> � � /C' <br /> �F• <br /> - -- �i�2`r��Q�r1;�0t- � Inspector <br /> -, �� <br /> Q)' - _ �' ��� '� - - -- <br /> PERMIi "'`' " "� `.' <br />