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CITY OF EVERETT <br /> Application and Gas lostallation Permit <br /> All Work to be Done in AccordznceiwitF ;' <br /> City--0rdinance <br /> � a _ �, ',i ! :�'•�`,._. .. <br /> t�o I. • . <br /> Everett, Washington..::- -..:.::.� .::.....:.....a........`- 19�' " <br /> , ........ <br /> � � f(. 1� � <br /> Location..:' =- -' .:�.:! �/�7•�-.=, .r44L..�• <br /> ._..... ........ <br /> �l.-t��:..1L1C. �•��-��L.... ...._ ._ <br /> Owner 4.::. ---�_ .....,. <br /> ' w-•••-•--- ------------- <br /> - �Applicant�.,.......1.::/!.:'.t`:....-•.� ._'= ...1.:. <br /> Rough piping inspection ___.__ <br /> Pipe in ezcoss o{ 60' ,____. Gas Stoves _ _�_`__ <br /> . <br /> Gas refrigerators __ _ _ Gas water heaters.�__ <br /> Gas.space heaters to 70,000 B.T.U. input _ _ <br /> Gas space heaters a�er 70,000 B.T.U. input <br /> Gas furnaccs.to 400,000 B.T.U. input __,_ <br /> Gas �`urnaces 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 /> ------ ,—: <br /> Call Back;'Inslection 4--�` � r� � <br /> P --..---_ Fee Paid S_�t�„r_ <br /> ,,, <br /> _ , -- ------ -------------- -----_A licant <br /> , PP� <br /> ey_._.�'�����cJ.--`� -1�'-=.=� <br /> -� -- - <br /> `,_ <br /> �'lans�ap��oved and Permit graq,�ed �as �r,equested Fiereiri: <br /> . : � <br /> . t ) � <br /> ._. ���.%. ::t'r�•4t <br /> ------- -1�'-'�__ ` CY.'U----Inspettor <br /> �'_ <br /> gy _ ,._ <br /> PERMIT ?^?� 1. � <br /> � <br /> , <br /> 1 <br /> � <br /> , ' <br /> � -�- - -- - - -- -- � <br />