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1 <br />�� <br />APPLICA`'1'IOiI I'OR 1•1L•'CIi7l1ICAL i'i;''.-i-:' ' <br />(To be £illed in completely by applic.� <br />Seely Davm ' PIiONE NUAIG�R <br />25g 610� <br />NAME (Owner) <br />PFIONE NUf�IIIER 2;8 2441 _ <br />CONTRACTOR Natural Gas Equipment Co., Inc. LI��I�S� NUt9SER �97 ` <br />AIiDRESS 1611 East Grand <br />TO DO WORK 1�T THE E'OLL0�9ING ADDRESS — <br />2920 16th St., Everett — - <br />US_F, OP IIUILDIP]G�_.�Nr��� �nDDITIOId ❑ALT�RPTION �RL•'i;, ': <br />�);;;;CRIII� �'�OP.R Re laced as viater heater Z,- $ <br />D�1TE 3- 7 - - <br />� - ,_J --- <br />fl l �:dED IIY � %.+ ' . �: ' ' <br />: _ _--- P�RMIT PEES <br />i1FCI�.%iP1ICAL (�NPT. GI�S ❑OSL ❑LPG. ❑ELEC_-- <br />�,ip TYPE OF rQUIPM�NT <br />FEE <br />--- $ <br />AIR COND. UNITS - H.P• Ea. _ -- <br />REI'RZGGRATIOiT UNI^1S - i1.P• E3 -- <br />— IIOIL;,RS - H.P. Fa- � <br />GAS PIi2ED A:C. UN1TS - TONNAGE - <br />—"' hi. Ea. <br />FORCED AIR SYSTE?�IS - B.T.U. - <br />GRI�VITY SYSTTMS - S_P.� T'1• Ea. _ <br />i M. <br />PLOOR PURiQACES - B.T.U. <br />M. -� <br />FQnLL Ii��ATERS - B • T •�-- , <br />- M. ' __ <br />UNIT HEP.T�RS - B.T.U. — <br />� �VAPOP.I�TIVE COOLERS <br />I <br />-�_ CLOTHES DRYER <br />�_ VEDITIT ATION F71N — <br />� RI�CIGE IIUOD i <br />c.r.ri. <br />pIR HANDLITIG UNIT — <br />-- 200 _I� <br />� WATER H1:AT�R & VENT , � <br />GAS nIPSNG _ _________-- _ — . , <br />TANKS -- —_—'---------_'_ <br />. <br />�,, .., _ _ _ <br />SUI3 TOTAL $ 2I00 _ <br />---_-___---- � <br />PERNIT FEE 3 ��'_ -�� <br />TOTAL P'EE 5 00 � <br />G� C 'i', ". <br />DATE - - -- <br />MAR 2 9 19i�� <br />CiTY OF FVER� l l <br />�ncnuriinn Iln� . <br />. . :3; , , ,, . � <br />