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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance'.witli ' <br />City Ordinance <br />� <br />� <br />� �� �i <br />Everett, Washington.....:::...�CdLr'�....%� ..............19.�'.�. <br />� // . l% (/ <br />� �J . <br />% � <br />Loca tion. .......;:'..7..!1!�----.,,C1.r{'.�.. ... .. .- �---�-�-- <br />' , -_ . . . . `�_. . ___ <br />Owne r.......... J..�:�'���?1,r.._:.�1 �t..-xa._ <br />.............................. <br />Applitant ..:......... .:.'�'!�.�� 1..............:.:.....�.................. <br />Rough piping inspection __� __._ <br />Pipe in excess of�60`_�__ Gas Stoves ___ __ <br />Gas refrigerators _____ Gas wa�er heaters _.__._ <br />Gas space heaters to 70,000 B.T.U, input __%�_—._ <br />Gas space heaters over 70,000 E3.T.U. input ___ . <br />�,as furnaces to 400,000 B.T.U, input _ _ <br />Gas furnaces over 400,OOO,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 />Small appliances_.�________.�___� <br />c.c, � <br />---- ;�---. ___�-------- <br />�----�-,,�, -- <br />Call Dadc!Inspettion _.__.___�._ Fee.Paid 5_.. �. __ <br />_,,` . ---- -- - -_ __-- - -----.Applicant <br />- - -- <br />_ � ^ <br />g ,,. (�r �.� _,"`. IL..`l__--''-_...._� <br />Y.. _.�. <br />, ------ - <br />Plans approved and Permit granted as requeslcd Hercin. <br />f <br />- — / : � �.i1,,;',;,.r_,:�- - - Inspector <br />�� .i <br />BY - - t_ - ' - <br />PERMIT ��-" � �� �� <br />