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CIYY OF EVERET'f <br /> Application and Gas installation Permit <br /> AIl Work to be Done in Accordance with ' <br /> City Ordinance <br /> , - ,. ._ . <br /> Everett; Washington.:.........�.I..'...`:.`...:..�...:......., 19..`..:i.. <br /> � �; � �k �/�- <br /> , ,i _ .... <br /> Location.. .sd...c_::............�U...�..t.�!:?......�..j---........... <br /> OwnEr ... ...A� �.. .�'tru.(-Jf.. �-�'-f��... <br /> 1 ) <br /> Applicanf� =-`��`'cJ.1.t.�`l`����J��l��.�� <br /> r �, ` ) <br /> Rough piping inspection _——._ - <br /> Pipe in excess qf 4Q',;1:_t�,- - - 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 furnaces over 400,000 B.T.U. ir.put — <br /> Conversl�n�uhits to.400,000 B.T.U. input _ <br /> Conversion units ,over 400,000 B.T.U. input _ _ <br /> Small appliances._____�-------------- <br /> - �----`----------------;�,.-Tc" <br /> . _. _—_.-__-._, _.__���.— � . �J <br /> Call [iack lnspection Fee Paid$.-��.'---- <br /> --- __.�___.._�----------AI?f?licant <br /> BY; - — C^.-1�,-s'I�-r_---�=�=�-��� — - <br /> � <br /> �,�� i <br /> Plans`approved and Permit C!�nted as iequested ifderein. <br /> �, <br /> i , <br /> _ __---1�"l:.+<<•�.t;_,_�1�'---- _ _Inspector <br /> 3y, . ���_�•')L -- - <br /> PERMIT A.T� ���,,.: <br />