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CITY OF EVERETT <br /> Applieation and Gas Installa�ion Permit <br /> All Work to be Done in Accordance 'wlf}; <br /> City Ordinance <br /> Everett, Washingfon........(.�!�J✓ ��/ ! <br /> / J ........�.l....... , 196,� <br /> �Sh c_ l.r�'ti:,-c. ...�.�. .�. .-r ... <br /> Locai ion.............. <br /> � ... . <br /> . . :............... <br /> Owne-........... <br /> •. .. <br /> ...... . ......: �. , , <br /> ..... .. . ......... <br /> ����,,��/ �.............. <br /> ApplitanL:�...�.`+.':Y..'i6�.�'bfF::f:.}.�-.�..-,.... .. , __ . <br /> . �.... •�-•---•.--..... <br /> Rough pipiny inspec�ion _.__ <br /> Pipe in excess�o�f 60' _ <br /> - Gas Stoves _ <br /> Gas refrigerators ._ <br /> — ;Gas water heaters� <br /> Gas space heaters to 70,000 B.T.U. input <br /> Gas s ace heaters over 70,000 B.T,U. input <br /> P _. _ <br /> Gas furnaces to 4C0,000 B.T:U. input �,___ <br /> Gas furnaces over 400,OOf;. B,T.U. input _ <br /> Conversion units to 400,000 B.T.U. innut __ <br /> Conversion units over 400,000 6.7,U. input ___ <br /> Small appliances__________ <br /> --------------._._—___� <br /> � : <br /> Czll Back'Inspection __ . ` �� <br /> ---_ Fee Paid.$�__.. <br /> ------Apulicant <br /> °Y" �,:_-�'='t="�-��` -�--y�-z- ` <br /> Plans�ejproved and Permit,g{anted as requ�sted hcrcin: <br /> ---- -r.:..:.C�-��C,�--�. <br /> —] ---'-��— Jnspeclor <br /> °Y - -�j __�-'`_. <br /> PERMIi N:> q���p <br /> � <br />