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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance',witF �' <br />j City Ordinance - _. <br />,: ,� <br />Everett, Washington::...1..�;�.,4:.;..h ..:.....:........ 19..(�� <br />�n � � <br />Loc a t i on.........1.4. � ..� . �T...... /.. ..!�.P ................... .. .... <br />. . ..___. .:.��_ _ �. `r �� _ . <br />Owner...........1.� L A - �f,.._�s��....1l.A.cS��.6s..t�.......... <br />A lic'<: , .-`:_' �y _ <br />PP ant. l_:i.'f�''�'-..' �.:....' ............._. <br />� , <br />Rough piping inspection ____ __ ._ <br />Pipe in excees of 60' _- Gas Stoves __-___ <br />` i. <br />Gas refrigeretors -___ __ �s water heaters _.W_.__ <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 />, �� , _ <br />Gas fumaces to 400,000 B.T.U. input — _ <br />Gas furnaces over 400,000-,B.T.U, in ut _ _. <br />, .u� .i�i;.. P <br />Conversion units to 400,000 B.l'.U. input __ <br />Conversion units over 400,000 B.T.U. input __ <br />Small, appliances--�--_____...LL-.- _—____..r. <br />. ..---r---- <br />.. 5—'.z- .. ._. ----�------.—'-_._�_..T�,-� <br />Call Back Ins ection-_ _ � <br />( P ---_ Pee Raid.S � �"'� <br />i_,r._... <br />- -� / --_- _--..— Applicant <br />' �' /!2/` <br />Br.: -. _, �'�`�__ �� _. _1 _. _.._ -- <br />, <br />Plans ahproved and Pe� it granted as �equested Nerein. <br />--- ��� '�F� )�':t _ ._ Inspector <br />'J � i <br />�Y- --- --- _��._1"s`- - ---- --- --- <br />PERMIT I�° ,'-� a ri <br />