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CITY OF EVERETT <br />Apj�lication and Gas InstaEla#ion i'ermit <br />All Work to be Done :n Accordance �wi4fi'=' ' <br />, . City Ordinance - <br />� : � � ;' J . .,/ . , ., � � / <br />Everett, Washing �._:::. ��:�:=" J,�t�:--....., 19 `�..d'z <br />... <br />L �---`- <br />��-, �. �z �..�% � �. <br />�, , .. <br />Lotation ........ . .......:... .-.--�----... .. �.::. =1--- ....... <br />... ._.�.... <br />_ , . . _.. . ;,'. _ . _ <br />/ �• • <br />Owner....----...L:�/�l.r�n!:'.:. R.r.c:-::.... ..�:ut::"!. � ............. <br />PP � � _ ;� 1 •�. - . �� � <br />- � �, <br />A licant.:...�:....:;:.:�:. ......:..x .........................:.. .... ._. <br />Rough piping inspection -.- _ __ _ <br />�.; <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 fumaces to 400,000 B.T.U. input —_ <br />Gas fumaces over 400,000. B.T.U, input _. _-_ _. <br />, <br />Conversion units to 400,000 B.T.U. input -- <br />Conversion units over 400,000 B.T.U. input _— _-_ <br />Small appliances_ ---- ----- ----------.. <br />— --- --- -- ---i --- �- <br />Call Back'Inspection _. - .Fee Paid S � --,;---- <br />. � r' :' ir -�, - . � -. <br />_ � -- -. P`PPlicant <br />������'''"'���_ �i �J <br />BY:: -..s�.,k\ "'� � ' -�-�J��."'`K`"-.s._�,. _f.qti,�-_ <br />`�� i <br />Plans�'a`pproJcd and Pe�mit granted as requested :Hemin. <br />' { <br />� <br />� r� . . <br />r'1�'r' �4 �ca i �� _ - - _ Inspector <br />_ —_ .—��. <br />BY -�C-)/�"' _. _ <br />PERMIT , . `: ..,. ' ,�� <br />