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CITY OF EVERETT <br /> Applieation and Gas Installation Perrnit <br /> All Work ro be Done in Actordance with <br /> City Ordinance <br /> E�crett, '.N>s iingtori............ �.�,L' „1 ) 19�'.� <br /> . . . <br /> .� � . ......... . . .......... <br /> Locafion..._.....e,..t�.t1..P....L .....:�4.1.J...................._.. <br /> � ! Q �y-- <br /> Owne r....__...�::.�r1,e.s./.......�.�:.5.�,-G.w.G�.,............._ <br /> _ f . � r. <br /> Applicant........�' ' <br /> ..'�:8:irtl.CV.....l..f-L.L....�.J.^' :.tC......... <br /> Rough piping inspe[tion . x <br /> Pipe in excess of 60' Gas Slwes <br /> Gas refrigerators Gas water heaters _ <br /> Gas space heaters to 70,000 B.T.U. inpuf � <br /> Gas space healers over ?0,000 B.T.U. input _ __ <br /> Gas fumaces to 400,000 B.T.U. inpvt __ _____ <br /> Gas fumaces over 400,000 B�T.U. input <br /> Conversicn units to 400,000 B.T.U. input _ __ . <br /> Conversion unifs over 400,000 B.T.U. input <br /> Sm;ll appliances . _. _ . _ _ _ _ <br /> - . _._. _.__....—. _ _ .– - --�–_. ._.... _._�`– <br /> Call Back Inspection _ _ _ Fee Paid 5 ._�� _ <br /> ._.._. _ _ _---- --- - AF�licant <br /> By_. ... _ �L...� � <br /> ;,- <br /> F9�ns approved and Pcrmit gran;ed as recuc;tcd herein. <br /> � � ' <br /> �'�����'_' Inspecror <br /> py j( IYt <br /> PERMIi '�;:' :3•+ � I <br />