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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work To be Done in Accordance'wifFi <br />City Ordinance � <br />Everett, Washington .......:: ....... :(:�....:......, 1.9 ��t <br />.:__ . <br />Location------..... l u2. � ..---c.�,.C�..nl1S...rX.�-/-�.. <br />�-- �- --/----' <br />. . _ /i `.✓ l' , <br />Owner-- ---...�l:�O: �.:l. :1.�.- --�=-` <br />... f . ...a-A . . <br />Applicant.......`, �. L,ri.�f,^V----�,fLP,:. <br />P.ough piping inspection —_-- <br />Pipe in excess of 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 furnaces to 400,000 B.T.U. input <br />Gas fumaces over 400,0OO.,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�lnspection __--- Fee Paid �y <br />J ___—_--_--- -.Applicant <br />By__ --��lf. _`�'` / S�--,------ <br />Plens approved and Permit granted as'requested'Herein. <br />��!�`C'?''��—_-�'-_:' ___. _Inspector <br />_— — — l�� <br />�J rn ' --- <br />ay'--- -- --- -- <br />PERMI i '�?� `' �: < , <br />