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CITY OF EVERETT <br />Application and Gas Insfallation Permit <br />.411 Wurk to be Done in Accordance wi�Fi <br />City Ordinancc <br />Evereft, Washin�ton.....��.l,v.---..��!..........., lY?/%.... <br />� ..... ...... �"6c�d,� <br />Location.......('-.`�.�.%...../°'�-.:c''�^<y ✓� <br />......................... <br />/` • i, <br />Owner.......N'�- .i�.t.Gif.an.a. _ l% 'µt-t., <br />............................ . <br />.... .................. <br />L � � .� 0 <br />ApplicanL.��4�......!'�+�1 ......... ..... . �-0� � <br />........... .................... <br />Rough piping inspection _ �_.__ <br />Pipe in excess of 60' .__ __ Gas SToves _____ <br />Gas refrigerators __________ ,Gas water heaters ___ <br />Gas space heaters to 70,000 B.T.U. inpuf —___— <br />i _ --- <br />Cas space heaters over 70,000 B.T.U. input ____ __ <br />Gas furnaces to 400,000 B.T.U. input ______ __ <br />Gas furnaces over 400,Q00. B�T;U. input _ __ ____ <br />Conversion units to 400,000 B.T.U. input �__ <br />Cor,version units over 40C,000 B.T.U. input ____ __ <br />Small appliances___________ ____.______ <br />_ _ �---------------- DI - <br />Call Back �Inspection . __�o _ Fee Paid $._�. �__ <br />---"_� "'� `!' -d--�� ---aPPlicant <br />n / / <br />� C _. <br />. <br />uY..rT...�::"__'_'__'_'_"_____`�'.)_- . <br />. : .i '___'_"____'____ <br />?�ans app� and Pe�mit granted as requested herein. <br />�:i�i ------__ _ Inspector <br />�,� <br />PERMIT �::' 4�If;:i <br />