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s,:....� . ._ <br /> CITY OF EVER.ETT ���' �� <br /> � ' <br /> Applicarion and Gas Installation Permit <br /> Ai: Work to be Done in Accordance witF4` � � <br /> -- Gity -0rdinance <br /> `' ' •- Q � . i <br /> Everett, Washington::.......��:�r::..,s..........,-19!�.`":. <br /> � i �j � � ^ ,/ � <br /> Location.........l.r'.�N.. <br /> _ _ _ . / �--::-:�:.7.- --`--�•-/-�,-----�...: .....--/-'�. <br /> Owner... �:t '��c.:(>.-F�� �--.._( f ,Y...�r"::5� <br /> .,,. _ _ � �,/' . � _ . <br /> Applicant---.•.............li:�...�.J..(..--�•----....__.................... <br /> Rough piping inspection x _ <br /> Pipe'in excess of 60' --- Gas Sr-•,as _ <br /> Gas ,refrigerators _—.__ ,Gas water heatecs.�_ <br /> ' Gas_space he�te:s to 70,000 B.T.U, input � <br /> ,_ _ � - __ <br /> Gas space heaters over 70,000 LB.T.U. input _ <br /> _... . _ , _ <br /> Gas fumaces To 400,000 B.T�U. input <br /> Gas furnaces over 400,0,O�.YBiT,U. input -- — <br /> Conversion units to 400,000 B.T.U. input — <br /> Conversion units over 400,000 B.T.U. input _ _ <br /> $mall ,appliances- . <br /> .. <br /> - ---<'=r--`-------- <br /> .— . �JD'_.._ <br /> Call Backilnspection __—.._.._.. Fee Paid ��Z;,..`_.,. <br /> ,_,;___ . Applicant <br /> By.____`-��-<-�.�—�_���/ / _. <br /> io <br /> PlanrapFroved anc Peimit gianted as requested;Rerein: <br /> _ _� �F -��s�T, , _. __ __ _Inspector <br /> ... �,�. <br /> � � � <br /> BY ___ _ _ -'-'- '���-- - -- - ----- <br /> PERMIT '�." "� ' :; <br /> � <br /> , <br /> ; <br /> ,., <br />