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CITY OF EVERETT <br />Application and Gas Insfallation Pormit <br />All Work to be Done in Accordante'ivith <br />City Ordinance r <br />, ' �` 1' ' , • <br />.. 3�v !�. <br />Everett,-Washinoton..�....::/.�J._'.,;%'� � <br />, . 19..G:: ; <br />• C �� .. <br />..., <br />Location.�t�.� �........Sl..: d.t.�::rG.4'r.'--..lr�Y...-/� <br />Owner...,�Q„G:Ft�..r `"� <br />�-�-�- - . ... . . ... <br />• ......... <br />........ <br />4 <br />Applicant.._.` �'tk,p .��!'.ir.'i' � 1 ' :�' - • <br />«�'-.e.. ..... ' , L <br />y; ,t.'�...�....... .....z'::: c�..r <br />� �l <br />Rough piping inspecficn __ %�__ <br />Pipe in er.cessof 60' _._r__�.Gas Sroves _ __ <br />Gas refrigeratoFs _ ___ _ �, �yater heaters ___.____ <br />Gas space heaters to 70,000 B.T.U. input _�_ _ <br />Gas space heaters nver 70,000 B.T.U. input __ <br />Gas fumaces to 400,000 B.T.U. input .___ <br />Gas fumaces over 400,0OO.,B;T.U. input _ <br />Conversion uniis to 400,000 B.T.U. input _ <br />Conversion units over 400,000 B.T.U. input _ <br />Sma!I appliances _ - .—_.—_-,-- -.�-.---- --`-` -. <br />Call (3ack Inspection _____,. Fee Paid $_(/ �� <br />- -- �y`-f �T . <br />�(� --� -> -------- � Applicant <br />\ � <br />.�Y�"_ .."-��-..-. sz--�Cti"��.._ <br />Plans approved and Permit.grented as requested;He�cin. <br />%�l� 'y - <br />� . <br />- - -� - ' �;;.+�'tn"G� _ _inspettor <br />6�� - -��� r_ --- <br />. PERMIT " ' � - , <br />