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CITY OF EVERETT <br />Appliwtioq and Gas Installation Permit <br />All Work to be Done in Accordance with <br />City Ordina�ce <br />' • (�a�/y , % ! <br />l.�''�..1� . / `-� . .. ..19 :a �?.'. <br />Everett; Washington .......................................... <br />'7 p !'r' � /,Q � <br />,..._'. ��_.' v-...._L.t ::........:.....�9'1.�-..-. <br />�- <br />Location....... . - , A - ---- � <br />. _ . • ; ��.vC.� ................... <br />Ow ne r...... �.. _.:...._..... <br />_....:.... ................. r � � <br />,.., ': . " . �A.�...:....�......�...........i .............. <br />Applicent ..:.........::�. �..... <br />Rough piping inspection --X - <br />Pipe in ezc�ss b� 60' . - - - Gas Stoves _ - -y - - <br />Gas refrigerators _--- - Gas �+'ater heaters _�`-- <br />Gas.space heaters to 70,000 B.T.U. input __--- <br />i. <br />Gas space heaters over 70,000 B.T.U. input - <br />Gas fumaceS' to 400,000 B.T.U. input _—�— <br />Gas furnaces over 400,000 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 />SmaIJ appliances__--- -- ---- — --`� <br />--- --_r ----�-- ---------��/ts� <br />Call Back'Inspection __--- - Fee Paid $_.F?r--+-�;- <br />_ _ _ _. Applicant <br />BY :�,-� �'-�`"�-'�' /� �/_Y_ _ _ _ . - <br />F1ahs'epproved end Permit g anted as icq�Iested herein. <br />�j�� ; � _ __ Inspector <br />-_- <br />•'Ea�'ri' c`"' �-'-� -._ �- - - <br />7 <br />�Y - - <br />-/ =-i�7 _ - -- -- <br />PERMIT ?��`.' ���'"�� <br />,.,_ _ _. _ _ <br />