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CITY OF EVERETT <br />Applieatinn and Gas Installation Permit <br />All Work to be Done in Accordance ,wifh <br />Ciry Ordinance <br />Everett, Washington..... , ... .)t.S....... 7..........., 19._�.•..7 <br />Location.....3.J. Z...........��:',!�.�t:� ............. <br />-'--.... <br />. . ... .. _ . . 'F,--• <br />-Q�-< <-.a-v��+ <br />Owner... .. ..�k�?.-.-t�S-3 ..............................�---- ......... <br />Applicant....�.���...!,� . � ............................................ <br />Rough pipiny inspection �_ <br />Pipe.in excess of 60'._ _— Gas Stoves —..._ <br />Gas refrigerators ___.___—__ Gas.water heaters____� <br />�_ <br />Gas spacc heaters to 70,000 B.T.U. input _� <br />Gas space heaters over 70,000 B.T.U. input _ <br />_.... <br />Gas fuinaces to 400,000 B.T.U. input _ <br />Gas fumaces over 400,00:� B,T.U. input — <br />,�.:t.r . .. <br />Conversion units to 400,000 B.T.U. input _ <br />Conversion units ovcr 400,000 B.T.U. input _ <br />Small appliances�. — _ <br />0 <br />_. _ __�_ : ./—�__ <br />Call f3ackjlnspection _—_.__ _ Fee Paid 5_�-,_T- <br />_Applicant <br />B _L_�'�/� �' y `� o ._�_ �- _ <br />�_Yr , , <br />Plans approved and Permit granted as requested herein: <br />----- —..jl:J'(_.___.....:..�',---Inspector <br />c <br />�,,- _p,-n�G.,..z.�_ __--- - <br />PERG;,T N.' �G1(� <br />