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CITY OF EVEREYT <br /> Application and Gas Installation Permit <br /> Ail Work to be Done in Accordance 'wilfl = <br /> , „ . . - \-, ,, City rdinance .. . <br /> ' ,. ., 1. -i. <br /> 1 ', <br /> �' �f� <br /> Everett, Washing ' / <br /> ton_...... .. .,£.[.1..:�C --, 1�f7. <br /> -- �--- --- - <br /> Location..y....�7.0._/ <br /> �� � . ...... . <br /> ��.. . ... . .��........... <br /> Owne� . . . . � � <br /> . . ............ <br /> ........ ................ <br /> ApplicSnt.. : ... . ' <br /> . , : ..�-�..�+'...::. �,�(�..r...� <br /> Rough piping inspection __�__ � <br /> Pipe in excess,of�(�0' ; __,__.1-� Gas Stoves ___ _ <br /> Gas refrigeretors��______ Gas water heaters__�_._ <br /> Gas space heaters te 70,000 B.T.U. input _�___ <br /> Cas space heaters over 70,000 B.T U. input _ <br /> 't __ <br /> Cas fumaces to 400,000 B.T.U: input — <br /> Gas furna[es over 4009Q0 g T �, inpui _ <br /> n., i. iT1�'.�(. . <br /> Conversion units to 400,000 B.T.U. input __ <br /> Conversion units over 400,000 B.T.U. inpui __—__._ <br /> Sma�l appliances�._______` i� <br /> �i: <br /> '�i , , , . .... -�__�__'_"""_ ���._. <br /> Call Backflnsp ction _..._ Fee Paid $�_ <br /> �" ��� PPlicant <br /> Jy... b�$„i,a'y!- <br /> --- - ---- 'S-- <br /> i <br /> Plans'approved and P t,grante as requested hereir. <br /> -- - -- �'f%7s�'�� `--���- - -Inspector <br /> � � <br /> ��, ; <br /> PERMIT lti'�' ��61 <br />