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� ,. _ <br /> CITY OF EVERETT <br /> Applicatiun and Gas Insfallation Pe►mit <br /> AIl Work to be Done in Accordance with <br /> City-0rdinance <br /> Everett; Washington.......:...�....�'•............. 19.�a.�.. <br /> a � �.� ���. <br /> Location...............f...........L.. .. <br /> �..... .............. <br /> _ _ _ __� / <br /> Owne r.......:.:.`.:.���'(.t4-a.��r.SeFn:�.:....-;�...................... <br /> Applic �� _ _ _ <br /> ant......:.......��..y_:..--•---....................................... <br /> R.ough piping inspection ---- - <br /> Plpr, in excezs oi b0' -- - - Gas Stoves _ �__- _ <br /> Gas;refrigaratcrs --- _Gas water heaters - _.. <br /> Gas space heaters ro 70,OQU B.T.U. input __- -- <br /> Gas space heaters over 7G,000 B.T.U. input — - <br /> �. <br /> Gas furnaces to 400,000 B.T.U. input — - <br /> Gas fumaces over 400,OOO ,B�T�U. input -- <br /> Conversion units to 400,000 B.T.U. input - <br /> Conversion units over 400,000 B.T.U. input ._ <br /> Small.applia�ces�l�+-�---- - - <br /> _— . . . . . -- --�--"_--irr_�r <br /> _ 1 ._�-. .., . �?d <br /> Call Back'Inspection ��Fee Paid S—�;�- <br /> _ . _ Applicant <br /> —/ -- <br /> --.._.._----- - <br /> By... .,,..•,� ls.s..�.�� —/�'�'.0 -�� —1;-__... <br /> P13ns`approve,d..�and Permit granted zs iequested herein. <br /> �� J(�•�4/�.�'�:'�'�/_.., . P or <br /> _ __ �`;1—f1'�i�lt_----_ _Insect ; <br /> ay _ � H_ _ <br /> PERMIT N° 3?��'.► <br /> � - - <br />