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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to be Done in Accordance`witF � <br />City Ordinance <br />, � 9 . 1�..�..1,mT9 , <br />Everett; Washington...__. ..... .. 6.:1. <br />Location.........._�.....oC.O�I....��R �.. - <br />;._,�. ..: ���..-..�)������.' �.,�(.r.��:'{�K.� .. .._ . <br />AOpplecant _......._-. `W'�"�^.. Gr�`s`. .l.! S: i�:u....._... <br />Rough piping inspection —% <br />f'�ve in excess oi 60''.-,_-.—_ - Gas Stoves <br />Gas refrigerators .—�_ Gas water heaters ._ -_.. <br />Gas space heaters to 70,000 B.T.U. input ._ _ <br />Gas space heaters over 70,000 B.T.U. input _ <br />Gas fu�reces,to 400,000 B.T.U. input <br />Gas tumaces over 400,0OO..B.T.U. input _ <br />Conversion units to 400,000 B.T.U. input —� <br />Conversicn units over 400,000 B.T.U. input _— <br />Small.appliances__--.-_--__—_.____�_. - _ _.. <br />.1_' <br />- _ -._ _.�, LL __ —•—�a -- <br />Call Back Inspection __—__ _ Fee Paid $� <br />1: a - -- -- <br />- -�-- -- --- --- --•---- - - -- -- �-- APPlicant <br />6y.. .,_,_�-�'1,�e-r2."�_/C' �-r - _------ <br />Plahs approved and Formit granted as requested he�n. <br />`��S✓�s��LE�?^{.'--`E1 — -- Inspector <br />i :..Kz t <br />ov �� � - -- <br />PtRMIT N° .`3 `' � ' <br />