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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in l�ccordance'�with <br /> City Ordinance <br /> Everett, Washington... ('l.t.�`.t�""....•f.............. 19�./•. <br /> ... .. �'_��-- <br /> Location.0`.�.�..t`�....._�.1.��k::��:1-7!.11:'<-R':........... <br /> . i - -�7n _.. �. ._...... . �... _ ... <br /> Owner�� �RiiL�..... ... ^�ti./.:L:t?-:.].�?,�,''_-. <br /> ....f..... .. &�`._�... <br /> (' <br /> Applic�nt............�.[.^..:.�....�t............ ......_.............. <br /> Rough piping inspection —--- <br /> pipe in excess of 60' __—_— Gas Stoves <br /> Gas.refrigcrators —_---- ,G,as µ'ater heaters—.�— <br /> Gas space heaters to 70,000 B.T.U. input _ <br /> Gas space heaters cver 70,000 B.T.U. input -- <br /> Gas furnaces to 400,000 B.T.U. input <br /> Gas furnaces over 400,000 ,BiT_U. input _ <br /> Ccnvcrsion units to 400,U00 B.T.U. input _ - <br /> Conversion units ove' 400,000 B.T.U. input - <br /> ;mall appliances--_------ <br /> - -/ c� <br /> Call Back�inspection _.__�--�Fee Paid $—___:i <br /> .����_(�C�.- �PPlicant <br /> � ,i yn.�. l��-- <br /> _..�c�'_"_'�r��L•L= -- <br /> 3y., ,.._ �----- , <br /> Plahs approved and Permit grented as requested hcrein. <br /> f„ ,_ <br /> _ _ _'� :'. _L�:�`__•G <..��_ _ Jnspector <br /> %n�_�- <br /> �Y . . _._. __ .__ .__--_ ._' <br /> PERMIT �'.' Iti'.11 <br />