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CITY OF EVERETT <br /> Application and Gas Installafion Permit <br /> All Work to be Done in Accordance with� <br /> City Ordina�ce <br /> , . .. <br /> � � /' � � , : <br /> Everett, Washiiigton.......�3�e,c.....2................ 19.U._6. <br /> � � <br /> J .� � ; <br /> Location.....:s.. �f: !�:....(ll.s.s.: <=1_ � <br /> ......... ..... ........._.......--..-.- <br /> _ _ .. _ <br /> Owner.......�.l:�,<,.ts:a.... .��.4.+..!-F:m.f..4' <br /> ..... .................. <br /> , � : _ ,;�� , /. �Q� <br /> /�pplicant...::. �.-eC-.iu�r�a... ....,�.1.'.�.:5!(l-.�.:........ <br /> Rough piping inspection _�_ <br /> Pfpe in excess of EO' _- _ Gas Stoves_ <br /> Gas refrigerators _ ,Gas water. heaters_— <br /> Gas space heaters to 70,000 B.T.U. input _.—X— <br /> .�l.r I•iA _ . . .._.. . .. <br /> Gas space I-,eate:s over 70,000 B.T.U. input _ _ <br /> �',as fumaces to 400,000 B.T.Ur� ihput _ <br /> Gas fumaces over 400,000.6 U. in ut __ <br /> >l. Gri P <br /> Conversion units to �00,000 B.T.U. input _ __ <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliance� __—_._—_ _ <br /> . �,��.�:� �. <br /> ---- t-ti , . . . -----------� �,�,. .. <br /> Call [3ackjlnspection ____ Fee Paid S� , � ,.,-- <br /> � , <br /> .-.,.... --- ----- --- '4PPliwnt <br /> . _.�I � y; �" _ , <br /> sYr-.-...�-�"(- t'�-`�=— —=--�---'---'- <br /> Plans approved and Permit granted as•mquested'fie�ein. <br /> ._ --- —�11---L-�'�'`-�----'--�._-__ _Inspector <br /> ,-� <br /> ay -- -- /C__ �7 1 - - ---- -- — <br /> pERMIT ' .,. . <br />