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CITY OF EVERETT <br />Application and Gas 1`r.stallation Permit <br />!VI Work to be Done in Accordance'with <br />City Ordinance <br />Everett, Washington.... ./..�(C�,;....�;�'�S` !�i % <br />. .........., 19........ <br />Locafion...... tN /t (e�_-<_. , <br />i i , <br />y.:. ._ .............. ..........: -............. .......... <br />ner.._.�..� �Oo.. � _ . <br />.. L . .........../... �......r..Q ................................ <br />Ow ,,. ^� � f C++ <br />Applicant......(..1 :... ...............: . <br />- - ............................ ....... <br />Rough piping inspec�ion � ___ <br />Pipe in excess of 60' ____ Gas Stoves _____, <br />Gas refrigerators _.__—__ .Gas water heaters_.____ <br />Gas :pace heaters to 70,00� B.T.U, input <br />Gas space heaters over 70,000 B.T.U. input _ <br />C'as fu�naces to 400,000 B.T.U, input _�_ <br />Gas fumace; over 400�Q00 B,T.I�. input _ <br />Conversion units to 400,000 B.T.U. input _ <br />Conversion units over 400,000 B.T.U. input <br />Small, appliances_ <br />� .` �.._��_�,_- <br />Call Back'Inspection _.____�___ Fee Paid $ <br />�''7� ���_,�, � _. _ <br />-r,r-'L--: =.Y'�_._�_--�------P`PPlicant <br />� <br />� � , <br />a_-....% <br />` Y�..-,_ W�£nr� _—_ ___.__ _ . . <br />. - � � ,. .,.. ,. - --'-------- . _. <br />Plans'approved and Fermit granted as requested herein. <br />., . <br />. .—_ -----".—.: -�-- �'�;`-- - -Inspector <br />`j _p�� �`. � <br />.. BY �� � - -- - -- /iti!...i•_- c-C1-v��' <br />PERMfT \", �l ��19 <br />