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i <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance �Jith ' <br /> Gity Oruinance <br /> Everett, Washington........�cLk....._.�.�......., 19.��>.. <br /> �/ ..... <br /> Location...!�.1.�..'I---...w._._....................__ . <br /> Owner___w�'�!'......(.�..�...�..�. . .. __._.. <br /> ""'—f �......._.... <br /> Q, J <br /> Appliwnt..l✓.1:..:..._�1-:c:....�:L.._......_ __ ...____. .._ <br /> �ouyh p:p���g inspection __� - <br /> Pipe in eKcess of 60' _ _: _ _ _ Gas Stoves _ _ <br /> Gas re(rigcrators _ _ - _ Gas water heaters _ <br /> Gas space heaters te 70,000 B.T.U. input _ _—,_X <br /> Cas space heaters over 70,000 B.T.U. input __ - - <br /> Gas tu�naces to 400,000 B.T.U. input _ — — <br /> Gas fumaces over 400,000 6,T.U. input _ _-- <br /> Cr.nversir,n units to 400,000 D.T.U. input - <br /> Conversion units ovcr 400,000 B.T.U. input ___ _ <br /> Small appliances..._.. _ ---- --�-------.--� <br /> - - ---------��- ------ � B p�i <br /> Call Back In ection . _. Fee Paid $�-----,--� <br /> , . -_. _�� . � 1 _�i----- - - - -- APPlicant <br /> �Y,,�;- ,- �-� � 77 _ _ <br /> FIan4 approved and Permit granted as requcsted hemin. <br /> ��Q;�O�.ta�. �"" � Inspcctor <br /> Cy --- - <br /> 4ERMIT `��'� �'����'� <br />