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CITY OF EVERETT <br /> Applica!ion and Gas Installation Permit <br /> All Work to be Done in Accordance'ivith <br /> City Ordinance <br /> � 7.Z 5 ��'��^�� , / / <br /> Everett, v✓a"shing .��,�..�.7` ._..----�� , 19�..!_ <br /> ; �—/. „ <br /> Location ..�� D �� �l*T�,sl�--.._`........... <br /> ,. �.:_.. . <br /> .. -. , <br /> ;`r. - � � // ."` �� <br /> Owner..� .. Q'!`.��'•{:fi�li......�l�14�!`x"c... <br /> r /� J�, <br /> ..... <br /> �(a. � <br /> Applic3nt�.�r�9 .lY�-...�-..x;f� .�...�/N.'.-.......�_. <br /> �.... . ... <br /> Rough piping inspection � -- <br /> Pipe in excess of 60' __ _-- Gas Stoves --- - <br /> Gas refrigerators ----- Gas water heaters� <br /> Gas space heaters to 70,000 B.T.U. input . ___ -- <br /> Cas space heaters over 70,000 B.T.U. inpui _� -- <br /> Gas fumaces to 400,000 B.T.U. input —.--- <br /> Gas fumaces over 400,OOQ D,T.U. input --- <br /> Conversion units to 400,000 B.T.U. input <br /> Convc-rsion units ovcr 400,000 6.T.U. inpu -- <br /> Small appliance����{l-b�v — <br /> �, �, <br /> _ `.'L-l- _ � - --,_� <br /> Call Back Inspedi n ____-- Fee Paid $-9�_._-- <br /> i_"�_ /1 ,� <br /> _IApplicant <br /> Bv, ��l'+�c �����------- <br /> _ r_,__ '° <br /> P!afis'approved and Pe�niit granted as rcquested Hemin. <br /> -- �-Y2.L'LO��_�--�-�----.._- —.Inspector <br /> - r�fn <br /> �,, � : - ---- - <br /> PERMIT �'" 1�;63 <br />