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CITY OF EVERETT <br />/�pplication and Gas Install�pion Permit <br />AIl Work to be Done in Accordance with <br />� , r �. City Ordinance <br />Everett Washin ' � , ' �-� <br />� fOR._.: J �,..� �. ... .�-, <br />9 ...:. , <br />..�. ........ <br />.. ...:....--°-��-� �, 19_::.._. <br />Location--.--....-��'. �r+ i :;t , <br />� ' ....:-�..�'�:R_:�___.. <br />� N'r."-.-•-•------�--• - -� <br />, • <br />'- • <br />Owner... ---� `lr-%F /' // - � ............. <br />._....:.:.. �� -5,., .---� ..-- - <br />� ---�- <br />. _, , .r <br />. ........... _.. <br />�PPlican!...:� ,.�,.� ... _._ . <br />�}--- ......:.....:.:r:.:?.�'L{-x.�::.....'.` ' <br />_..._._........._ <br />Rou h � <br />9 piping in,pection ---_= �. <br />Pipe in e�cess c,f �0'. _: •_L <br />Gas. refrigerators `_� Gas Stoves <br />Gas space heaters to 70,000 g T Wa�er heaters._ __ <br />Gas space heaters over 70,000 g T. �nPut ___ <br />Cas furnac 3 }� U' �^Put _ _ <br />e 400,000 B.T.U. input _ _ <br />Gas furnaces over 400,000 g,7',U ��P�� <br />Conversion un�ts to 40n,G00 6.T,U. input ___ <br />Conversi„n units over 4G0,000 B.T.U. input __ <br />Small appliances--- —. <br />----- --- <br />--- --- 1 v u <br />-,.'�_ _— <br />- __ <br />__ <br />Ce�l Gack Inspec!ion_ � � <br />�- i <br />- -- fce Paid $..__ � -• <br />-- -- - <br />- .. ...:.—_'____. . a y <br />_ _ <br />. .. _. ..__- -._- ---�PPlicant <br />3y. C� ,:. .,. , <br />-- - �.... -, � <br />- �.�: ., <br />- — _ __ - � f' <br />'r'lans approved and pe�mir 9rinted as r•��uasted'herein. <br />y r <br />-. _ _. ( . �,.<;: ..Y <br />__ <br />Gv <br />- - ---��' Inspeclor <br />%i L <br />���R��! <br />