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�,JY���i"�n.. r t�.. . . <br />� <br />� <br /> I <br />� <br />� <br />� <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to bc Done in Accordance:with <br /> City Ordinance <br /> Everett, Wash�n ton...::.. � f <br /> 9 ,��� .....1!...:.:.:....... .�.�..�' <br /> ^ - •�/ ./,. � � <br /> Location - J�-�O - ..../,n.::...b.-�-�=�/--�s1�.. <br /> . . . �p � A _... . �`Y. `. �.'. ,'lRY _ .. <br /> Owner....... C. f).G..u,��' �l.r...� :./•- """""....... <br /> � /f <br /> , .. . t - - . .. . . . . . <br /> Applicant...'.....!..•'--•r�-�----.....'L` ----....v.......................... <br /> Rough piping inspection �—- �/ <br /> Pipe in excess of.60' --.— Gas Stoves �L__ <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 fumaces to 400,000 B.T.U. input _ -- <br /> Gas fumaces over 400,000.,B.T.U. inpur — __ - <br /> Corrversion units to 4G0,000 B.T.U. input _ - <br /> Conversion units over 400,000 B.T.U. input — <br /> Small appliances_--. —-------- - — <br /> ---- ----- ------:--!r�Si'__ <br /> � � <br /> Call Back Inspection ___—____ Fee-Paid $._(`_'___�-.- <br /> ---. Applicant <br /> �— _.'.�- _ _ � _ <br /> , �. <br /> By ���_ �� . -_� - ---.. <br /> Plans approved and Permi(..granted as mquested .i:erein. <br /> �- l:, ���C L i.-.c• <br /> _ � '._/:Ir�� . .�: -- Inspector <br /> ( . <br /> � i 1� <br /> [3Y _ _ i . ' _ —__ —__ _ <br /> PERMIT : . � <br /> �i <br /> � <br /> � <br /> r•r <br />