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.:r�� :� - / s[. 31ri�=C.��: .:r.. ._N.Y:�. � -" �. � � � •- �- ��� <br /> � <br /> I <br /> � <br /> 1 <br /> CITY OF EVERETT <br /> ppplitation and Gas Installation Permit <br /> A�I Wor4 to be Done in Accord�nce!t4ith' ' <br /> ' City -0rdinance - . �, <br /> , , , ,., , _ <br /> � . <br /> ` , // <br /> Everett; Washi�.g ��`'.............. 19'�.!�.. <br /> ton..... .. .......:......... <br /> , . � �� r� r. <br /> Location..... .�.�� b�°r..-.--�'< ' . =`•- -----�----•---... -�--�--- - <br /> _..., _. <br /> . _. .. � �� <br /> �.. .._...-- � 1" �--�'��-�................... <br /> i;inea-.:........ ...�- -c� <br /> Owner....---..... , ,,,t�,, <br /> n_"lic " ', �/ `�- !2 , ' '. , <br /> PP ant.:...------- `..................•-�---�--....-•.-� --� <br /> ............... <br /> Rough piping inspection --- <br /> Pipe in excess of 6Q' - Gas Stoves _—\/— <br /> Gas. refcigerefors -- !Gas water heaters_!�-- <br /> Gas space heaters to 70,000 B.T.U. input ---- <br /> Gas space heaters over 70,000 B.T.U. 'inputi � — <br /> Ges fu'maces to 400,000 B.T.U. input ----- <br /> Gas fumaces over 400,000-rB_T`U; input - ---- <br /> Conversion uniis to 400,000 B.T.U. input ------ <br /> Converion units over 400,U00 B.T.U. input _--- <br /> Small a,pp��ances_---- -' <br /> 1 c' . <br /> ---- � . <br /> Call Back'Inspection _-- Fee Paid $�-r „----- <br /> ---.-_-_.�__._.Applicant <br /> B — 1 i:, <br /> . -- ��` c /" �f!1� `� �—i'o��' <br /> Y,�-.-•;--- <br /> F=�� <br /> Plansapproved and Peimit,grented as mqi�es;ed 'Rerein: <br /> � ��r6�;'f''r c'�,______Inspector <br /> -- — / <br /> QY - ,''� _11'�� -------— --__ <br /> PERMIT �°'"� � � `� <br />� <br /> I <br />� <br />� <br /> '„. _ <br />