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r <br /> CITY OF EVERETT <br /> Appfication and Gas Installation Permit <br /> AI' Work to be Done in Accordance;wifh <br /> City Ordinance <br /> Everett, Washington................... � ..... ......, 1967. <br /> . . <br /> q • ---... <br /> Location........./{�.Q...l........ .. ..�.�F�f..t-,.,......... <br /> Owner._....:.`���.�v.�.....l.Y....�',7?�e---sa--• <br /> � � . ..................... <br /> , , .. j . . '� ,�j n . . <br /> Appl ica nt.'1.:..:.. :... ..l..�..�1......�. . . . <br /> ................................ <br /> Rough piping inspection _L� __ <br /> Pipe in excess of 60! �_�T_ Gas Stoves _ <br /> i <br /> Gas refrigerators —_ ,Gas water heaters <br /> Gas space heaters to 70,000 B.T.U. input .__�_,� <br /> �as space heaters over 70,000 �B.T.U. input ___ <br /> Gas fuinaces 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 /> Crnversion units over 400,000 �.T.U. input <br /> Small appliances____.__ <br /> _ ——,— _, --��_ <br /> Call Back�lnspection ____T__ Fee Paid 5��_ <br /> r.�,--i —�°`PRlicant <br /> 0 , �- � �rl <br /> �Y,iT--;r �--------�--- - <br /> Plans=approved and Permi granted as requested liercin. <br /> tc� r <br /> _ ----�� ��-�.Zi�,'�i::i— _ _ _Inspector <br /> ��� �� <br /> 3y _r( -^�_" -- ----- <br /> PERMIT N:' 45G1 <br />