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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to bc Ucne in Accordance with <br /> City Ordinance <br /> � <br /> � f. ; `� �7 <br /> Evereft, Washington.�.�f.`..t.:: . � / <br /> . ............:............ 19........ <br /> - - /�� , <br /> Location......�.��.1.�'.......!4!..s:: ..'�—'..4:'`.r.:......... <br /> Owner........Lr:T� ,� ' � ' ' 1 i c.r��..... <br /> . . . <br /> �F/a,.._...�. ....... ........ .... ... .. <br /> AppI icant...................................... ......................._......... <br /> F:ough pi�iing inspetlion _ . _ <br /> Fipe in excess of GO' _. _ Gas Stoves - �_ <br /> Gas re(rigeratcrs Gas water heaters _ <br /> Gas space heaters to 70,000 B.T.U. input _ ___ <br /> Cas space heaters over 70,000 B.T.U. input <br /> i.as fumaces to 400,000 B.T.U. input __ <br /> Gas fumaces over 400,000 B.T.U. input <br /> Conversion units to 400,000 D.T.U. input _—.___ _ <br /> Conversion units ovrr 400,000 B.T.U. input <br /> 5mall appliances _ . ___ ___ ______. <br /> .. ._.. _�--- _ <br /> . � � .l'K___._ <br /> Call Back Inspecticn Fee Paid $ � _ .._._.._ <br /> , � <br /> __----'---- -- —` � _ _ Appliwnt <br /> Ry... .. . _ _ <br /> Plans approve�,and Permit granted as requcsted herein. <br /> �; ( , . � <br /> ..��� c' ,,.�. <br /> Inspectnr <br /> �,,, l/� iiL. <br /> PERMIT \''.' =15=1 '1 <br />