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._. ` _ _ ' . .:i-.�; . <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in Accordance'with <br /> City Ordinance � <br /> , � } , • i <br /> E�erett, Washington----....d:�..fJcF.'..:...�......, 19---.'=7 <br /> , , , /. . . _ �J � r <br /> L'ocation i� .�> .a� ..>� .c�C 4r' <br /> ' � r ............. <br /> . . .. I. . . f N� � <br /> /� 't <br /> ,��, r , . �.�._ <br /> Owner - •1./.`�:�.�.....+./...{..c.........:.�..:.......�.........:....... ... <br /> ;�, ,�. , �..�� �' �;� <br /> Applicai�T.!:.}...1`.:�?.Y....��.�%�............:.:`............... <br /> Rough piping inspection _ <br /> Pipe in excess of 60':�__._:_— Gas Stoves _�_ <br /> �, <br /> Gas refrigerators ___ .Gas water heaters.—_ <br /> Gas space heaters to 70,000 B.T.U. input _-- <br /> Cas space heaters over 70,000 B.T.U. input — _ <br /> Gas furnaces to 400,000 B.T.U. input —_—__ <br /> Gas furnaces over 400,000 B.T.U, input <br /> Conversio�l units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 6.T.U. input <br /> Small appliances_ '_� <br /> Call Dackilnspection _— _ FeePaid 5-_�� <br /> � .,(� r . . . <br /> �� h �_Applicant <br /> f �—��� / <br /> By.. -- -- �=�-'.=_—� --------- <br /> n : <br /> P�anS approved and Permit granted`as requcsted herain. <br /> �, <br /> �. <br /> _ -_- - '_ ��_ rt�i:L Inspector <br /> i, �--- <br /> L'y J . . '-L— — - — - <br /> PESi�IT ��" 4738 <br />