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CITY OF EVERETT <br /> Applica�ion and Gas Insfallafion Permit <br /> All Work to be Done in Accordancc'with` � <br /> City Ordinance <br /> Everett, Washington......../....�t''�"�J..��/.......,..19..(`.� <br /> �� �.�....W�.:�,:'�.Y.-0:?:�...-... ..✓ <br /> Location....... ........... . .. <br /> . . . ,�y...,:� -_ . . <br /> ., . - - <br /> Owner..........�.c�.�.. ...'�'."-/'�7..�. <br /> . .......... ..... <br /> . <br /> ( IJ._IKi . / i . .. . . � f� . . . . .. <br /> � / �:�- vf.'�'"f,� �.M�.i1 <br /> Appl itant...1.......r. ... ............. . .....................---....... <br /> Rough pipiny inspection _ <br /> � <br /> Pipe in extess of 60'_—�-__.__ Gas Stoves _--._ <br /> .:. . <br /> Gas, refrigerator, __�___�_ Gas watec heaters <br /> Gas space heaters to 70,000 B.T.U. input —-- <br /> Cas space heaters over 70,000 B.T.U. inFut __.— _ <br /> „ _ _ -_ _ <br /> Gas fumaces to 400,000 B.T.U. input — . <br /> Gas fumaces over 400�OO��B�T.U. input .._____._ <br /> Conversion units to 400,000 B.T.U. input — <br /> Conversion units over 400,000 B.T.U. input --_ <br /> Small appliances <br /> �� <br /> �� <br /> __--,-- .'---.------_ — <br /> � / �;'� <br /> �all Backflnspection _.�___ Fee paid F_.�,_,..__ <br /> �., ___ _Applicant <br /> ' �..rf- C�C' <br /> ..� � ��( ` , , � M . . <br /> 13y,.._.�- {_..��-._..--'_' / —---.�— - <br /> P!a�3�approved and Permitgranted as,�equesicd he�ein: <br /> ,� �Jr-.--�.. <br /> _ .— ��-f1��'i,?� C,!S`!�_�1; � _ . Jnspector <br /> -� <br />� Ey �'�>��-- ---- — <br /> PERMIT N`.' 4���7 <br />�. <br /> I <br />� <br /> i <br />� <br />! <br />