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CITY OF EVERETT <br /> Application and Gas Installafion Permit <br /> All Work to be Done in Attordance wifh <br /> City Ordinance <br /> , . <br /> Everett, Washin t, ,ti,.� ,�,� � 6 S� <br /> 'g on..�.,...(.��k:? .. ; 19....� <br /> 1 � <br /> Lowtion__............. .. � <br /> `1 �..�...�3-e.-Q�� <br /> . ................................. <br /> � - , � Q �� I// <br /> Uwne r._j...._...1�'.:±1.A�.�S�S4_`....:[!:.Gi.^A.w...'..........._.... <br /> . . � .� - : .-.� <br /> � � �� i.(,i�� ! '� a. <br /> Applicant...�......:..c�........._........�._._.`_....1�....:......... .. <br /> Rough piping inspeclion x <br /> Pipe in excess�of 60" � . ,_ Gas Stoves . <br /> Gos refrigerators Gas water heaters . � <br /> Gas spacc heaters to 70,000 B.T.U. input � <br /> Gas space heaters over 70,000 D.T.U. input <br /> Gas furnace"s fo 400,000 B.T.U. input '. _ _ <br /> Gas fumac.•s ovcr 400,OQ0 B.T.U. input _ <br /> Conversion w�its to 400,000 B.T.U. input _ _ <br /> Conversion uniis over 400,000 B.T.U. inpui _._ <br /> Small appliances _ <br /> . _- �.�:�;� <br /> �___.....- , <br /> _ �,�- <br /> � <br /> Call Back'Inspection Fae Paid 5 � . _.,,.,, <br /> � _ � - <br /> . .. -� --� -- - . -.. . Applicanf <br /> , <br /> ay:. .._. ,_ �L�- o �-- <br /> P�ans approved andlperniif gr�nte8 a� requested herein. <br /> �( ,i'7�'{�:lfrwl'�.�,-�;�) I�specro. <br /> 'T � <br /> ��� �" )i1 <br /> PERMIT �;'�� �� < <a <br />