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CITY OF EVERETI' <br /> Applicatiort and Gas In;tail:,tion Permit <br /> All Work to be Done in Accordance'witfi <br /> City Ordinance <br /> � i ` fL <br /> [v ett, Weshington.......r.!!.�!,.Y�..��.........., 19'...... <br /> r r `'� � <br /> Loca tion...........�1:-�.aS......l.k.�:.. ................_........... <br /> „ . <br /> �1!....y�Gt/"7I�K-� <br /> Ow n e r............�,�.GitS::�(.. . . ... ............ <br /> Applicant......:.........:..11a.�.�''.,.G..,1.....__... ............._. <br /> Rough piping inspection ..!_`_ _ � <br /> �ipe in excecs uf 60' ___ _ Gas Sroves _ <br /> Gas refrigerators _ _ Gas water heaters.�/__ ___ <br /> Gas space ��eaters to 70,000 B.T.U. input _ --1� _ - <br /> Gas space heaters over 70,000 B.T.U. input _-_ _- _ <br /> Gas fumacad; ro AOO,OOG B.T.U. input _ __ _ _ _ <br /> Gas furnaces over 400,00,0 B�T.U. input . _ __ _ <br /> Conversion units to 400,000 B.T.U. input ____—__ <br /> Conversion units over 400,000 B.T.U. fnput . ___ _ <br /> Small appliances_ _ ._ __ _ _ _ _ __ _.__._ _.. <br /> . .--------- - - �--�y<- <br /> Call Bacie:lnspection _ _ Fee Paid $ .f- � , _._ <br /> ..._. _ __ _ _ Applicant <br /> ,,: <br /> By.. . _ �. , I.s ( � �' _ // ��'z '3.� _ ... <br /> — ..-. <br /> Plans aphroved and Permtt„prd�lted as requcsfcd �herein. <br /> � {.' • . <br /> l_�,yll��.l.j_L�(:y:)rr' Inspector <br /> 1 <br /> �Y ,.(. >;� . . <br /> PERMIT "�:" � ` '� <br />