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� <br /> CITY OF EVERETT <br /> Aaplication and Gas Installation Permit <br /> All Work to be Done in Accordance'with <br /> City Ordinance <br /> i � '{ � ` / <br /> Everett, Washington......��....�.�`....•�........, 19.�?.S7 <br /> Location...7..7,r�a�.1...�. .��:�:(:.!::'.-/�.................. <br /> 7Y'. v ���. � f ��1(i-�)4..rAJ <br /> Owner.....:.....f..Gt. G.r.!�...IA/--'--................................ <br /> Applicant:.......i ' �"a.'.,� , . , ,, � : . . . . <br /> , <br /> , <br /> ' •-'r�.:1x:�-.-.......�...... - --....._.._ , <br /> Rough piping inspection _�_ <br /> Pipe in excess of,60: ._;--- ,,Gas $to.��es _ ._ - - <br /> Gas refrigeratore - ___ Gas water heaters_..____ <br /> Gas space heaters to 70,000 B.T.U. input _ —__- - <br /> Gas space heaters over 70,000 B.T.U. input -- <br /> Gas fumaws to 400,000 B.T.U. input — <br /> Gas furnaces over 400,000 B.T.U. input --- - <br /> Conversion units to 400,000 B.T.U, input � --- <br /> Conversion uni;s over 400,000 B.T.U. input _-_ <br /> Small appiiances --`--____-.__.____�..____-- _.. <br /> --- �----- _ __�_ ----- <br /> -- - : _-c..._ <br /> Call Back(Jp�s,pection _ : _ __ _ _ fee Paid S- / - , - <br /> " {J/, ,/ .._�. <br /> ._.,..:-r�I�1c;,,c':de�-zsc_ Appliwnt <br /> �� _-- <br /> y -- - - - - - <br /> _ --� _ _. __,_.__.. <br /> Plans approved and Permit,granied as �requcsted fiere.in. <br /> � ' `/' � <br /> � <br /> '^_�i�{�'-��{J.L�';�.''�f InSpeCtor <br /> . .- - - -i. -r ' <br /> �.� _ . _.f_' _�1�1 --- -- -- -� - - <br /> PERMIT '�" ' � ��� <br />