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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to be Done in Accordance'with���- <br />. � City Ordinance �.,. . . <br />:. ..- . �, i ' � ; .. � <br />• c � '7;. � / r <br />Everett, Washington...:.�.�:!!-..'.,,�:ru.,,..;.:..., 19%..�l.. <br />. <br />. � <br />Location......'.�f .•l. /-'S ..G:t.la..L�.�:.r..' ............... .... <br />..:�� ;- .+� :_ _ . . _ <br />Owner........^ :%`ll.t.v+.¢�•e.i�....�iul��!l.l-'-. ' <br />.............. <br />A li. .. ' i J_ <br />PP cant...._...�4�.Y�,�C.1�sJ .........:...:............ ' . <br />� . ................. <br />Rough piping inspection _�__ _ b�l.+,,... � <br />Pipe in excess(of 60',,_: _'___ Gas Stoves _� - <br />Gas„refrigerators - _ _. _ ,Gas-water heaters _.._...... . <br />Gas space heaters to 70,000 B.T.U. input ___ <br />Gas spa:e heaters over 70,000 f3.T.U. input <br />, <br />_ _ _ .... <br />Gas fumaces to 400,000 f3.T.U. input ___ <br />Gas furnaccs over �00,000. B� ;U. input ___ <br />Conversion units to 400,000 B.T.U. input ____ <br />Conversion units over 400,000 B.T.U. inpuf __ __ <br />Small.appliances_—.----�-,--`_,— ..-`_�._.. <br />, , . <br />----�,._.,._"_._._`--------- � �; - <br />Call Back!Inspection ____ ._._ Fee Faid 5�,_, <br />. . �.-rr-r- <br />; .... � -- ----` — ... __..:Applicant <br />By, .,� , --�� I�C �,F���. '�]~--l._G� -''- ' <br />)��--�� <br />Plans approved and Pierrnij� gren�ed,as reyue;tcd HeTein: <br />r ��/ ���_ . <br />— - ��`1"�— _ Inspector <br />>ij � '. <br />E3Y _Sr���� -/ � /_' .. _. _ _ - - - -- - <br />PERMIi "d° ;;•�;;�) <br />