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CITY qF EVERETT <br />APPlication and Gas Installation Permit <br />All Work to be Done in Accordance ,vith <br />City Ordi�ance <br />Everett, �^) , <br />Washington--�-��'"�' � f � � <br />,......::-; <br />l .-- : �...... ....:._........, .19,C?._:� <br />Location... .-- � -� � �_�.'.�:.-. --•�'•- �.. . <br />�. '. ..-__ "_'--�- �� <br />Nv� <br />Owner. ..... . �% � � � � _ .... .- <br />� �'���='����,G E�e ,/ - <br />..... <br />, ....... <br />Applicant. :. . � �� �� Z" .; . . <br />, '."" -.-.-----��--��-----........ <br />Roug;� P�P�ng inspection _ <br />' F�pe in excess <�f 60' _ ___ <br />Gas refrigerators _ - Gas Stoves __ <br />Gas space heaters to 70,000 g T Water heaters_� __ <br />Gas space heaters over 70,000 g.T input _____ <br />Gas furnaces to �;p0,00G U P1Put ____ <br />B.T.U. input ____ <br />Gas fiirnaces over 400,000 B.T.U. input <br />Conversion units to 400,000 Q.T.U, input _ <br />Conversion units over 400,000 B.T.U, ;�Put �__ <br />Small appliances_.___ <br />--- — - --._.— <br />Call Back Inspecticn ___ <br />. F�•� Paid $ _' ��� <br />_ ___.. <br />- --- - <br />y ___ _ � <br />_ i �- <br />� � � � ; _ _ - APPlicant <br />x'� _�....:�r�-'i�...�� .. <br />., -- – - — . ---""'� <br />P�ans approved and permit granted as requested fie�ein: <br />� <br />! i <br />- —_ �� C�.% .{��F �,''_,�r <br />.._ --_:-_.. �-__ <br />�, � -- _Inspector <br />i <br />PERMIT T^ <br />