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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in ilccordance with ' <br /> City Ordinance <br /> Everett, Washington..::.�. ......:. . ��:........., 19.�� <br /> U�}7 '. .... <br /> Location....c�.!I�.�.D.....V.`.".�.. . . .. <br /> /' / ,_ _ c�:� z ,3;' ¢ <br /> N 1Y � / <br /> Owne r...:...L�.��...I ...........I...:....................'........ <br /> _ : ,,; .. <br /> Applicant....... . ...... . .--. ......---.....................--- <br /> Rough piping inspection <br /> Pipe in excessof 60' _ --- _ _ Gas Sroves _ _ _ -- <br /> Gas refrigeretors ___ _ Gas water heaters..�_____ <br /> Gas space heaters to 70,000 B.T.U. input .-��-- <br /> � ;, <br /> Gas space heaters over 70,000 B.T.U. input --- <br /> Gas furnaces to 400,000 [3.T U. input - <br /> Gas iumaces over 400,000 B.T.U. input _--- <br /> Conversion units to 400,000 B.T.U. input - <br /> Conversicn units over 400,000 B.T.U. input _.--- <br /> Small appliances.. —_—---- ------- � <br /> Call Back�lnspection — _ Fee Paid S��� - <br /> --- _ <br /> _ _ _ . Applicant <br /> _ <br /> QY _.� ...__._:-�:`-.-' <br /> plans'approved and Permit granted as rcquested hErein. <br /> __ _������� __ _ Jnspector <br /> i �j <br /> :M1:fl <br /> BY _ - �,� -/--��...- — - - --- - - - <br /> PERMiT A.7: :3�'r� <br />