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,_�� . , <br /> CITY OF EVERETT <br /> Applicat�on and Gas Installation Permit <br /> All Work to be Done in Accordanceiwi4h�+' <br /> � - , City Ordinance - <br /> i , , ; . <br /> • ' .� 1 �7 �, l ��. / <br /> Everett, Washingtori..........��R�.1...../............. 19.6.J.. <br /> Location........�6-I�:-..le�•�.:�5�................... <br /> ... .. . . ._ _..... ._ . . . <br /> �. . , _ <br /> �} � • r <br /> Owne r...............�t:��.......�.....,.�-�.^xJ.��.1.�................. <br /> �..,:i�:-i.,�,. �.. ......a _ . . . �1� . _. ... <br /> q 6 � _.... . <br /> Appl icanLt.......I�K:n?n'!'!4...�......:�.\!:�:!lK................. <br /> Rough p;oing inspection �.._ <br /> Pip� in exEeSs of'66` �- . Gas Sroves ___ <br /> Gas refri�erators �_._ ._Gas.water heaters_._.� <br /> Gas space heaters to 70,C00 B.T.U. input __�_ <br /> ..uc� p.. .. . . _. . . ._ . . <br /> Gas space heaters over 70,000 B.T.U. input ___ _ <br /> Cas furnaces to 400,000 B.T.U. input _ _ <br /> Gas furnaces over 4�0 000� -� . in ut ___ <br /> r_t,�:� 1.tC:� P <br /> Conversion units to 400,000 B.T.U. input __ _ <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances_.�____y�__�._____� <br /> ,. � <br /> — �.—..`_ .— _--------�._. <br /> _.—� . . , ..:_�,c- <br /> -' �/ � <br /> Call Back lnsqection ._ _.�__._ Fee Paid $____f.� ._._ <br /> ;-ti�r- - ---- T . - - -__ -- ------ -P`RPlicant <br /> ,� ;- ,� <br /> �_ .fi r c.J�`..�tl ; Z .��- <br /> Byt�i;r-'�'-- _.__._..'-- <br /> PIah3`apjSroved and Permit granted as rcqucsted IHerein. <br /> l t " <br /> -- -�4�r���'�'' - _ -- -Inspector <br /> �. :: <br /> BY _ - -- -l��fJl.- --- — --— - <br /> PERMIT N° ?�"��, <br />