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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be'Done in Accordancelwlth <br /> , C <br /> City.Ordinance _ <br /> `�� <br /> Everett, Washington........ ......... .. . �......., 19..(4..T � <br /> . .. <br /> Location.!!�u.F�..1........l�. ............... <br /> Owne r....... . ... .. .. .......:.�.....`n�^.64..:...c.-�............... <br /> _� ���(,f � <br /> /�pplicanp^i.f{�3J.:..�.�::.::.:.._...---•-'.................._. <br /> �� ' <br /> Raugh �ipipg�inspection _ � -_ <br /> Pipe in exceu�PF 60����,-1��Cas-Stoyes _ _____ <br /> � - I <br /> Gas, refriger�tors -- ,Gas water heaters !_ <br /> Gas space heaters to 70,000 B.T.U. input <br /> Gas space heaters over 70,000 B.T.U. input <br /> Gas f�maces to 400,000 B.T.U. input ti' <br /> Gas fumaces over 400,OPD.,B.T.U. input <br /> �. . <br /> Conversian units to 400,G00 B.T.U. input <br /> Conversion units over 400,000 B.T.U, input <br /> Small appliances___ <br /> �� , � . . . <br /> �;; � ' ;T ,-�----- O�. - <br /> Call Back�lnspection ____ Fee Paid 5�_—_ <br /> ._ �. , <br /> i� . � E+pplicant <br /> -� � -�c�-----`- , -' <br /> PIa�iS�approvod and Perm�k �rhnted as requested liere(n. <br /> - - �"•`C' �"�;:_;`�--Mspactor <br /> �Y �+J -_ ll.�'-���- -- - <br /> PERMIT I�'`: 4��� <br />