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CITY OF EVERETT <br />Application and Gas installation Permit <br />All Work to be Done in .Accordance :with ' <br />City Ordinance <br />Evemtt, Washington....S1�`,.�,.�---�(�---.---•---.-. �q�� <br />Location...../.Q.3o.... ��-,...../.��,,,........ <br />Owne r........L,..�... (/...-.(�d.q:�.G.Crsx,l <br />....................... <br />ApplitanL... ....... .xP�..:,s� ..— ..............i........... <br />i <br />Rough piping inspeclian �.____ <br />Pipe in excees of 60' ._ _. __ _.._ Gas Sroves _—_____ <br />Gas mfrigerctors _. Gas water heaters _—.__ <br />Gas space heaters to 70,000 B.T.U. input ___ _.____ <br />Gas space heater_ over 70,000 B.T.U. input ____ _ <br />Ge3 fum�ces to 400,000 B.T.U. inpu! <br />—�--- <br />Gas furnaces over 400,q04 � T in ut _ <br />r,. ,,! i � !;p�; P ----- <br />Ccnvcrsion units To 400,000 B.T.U. input __ ___ <br />Conversion units ovcr 400,000 B.T.U. input ___._ <br />Small appliances.._..._ _______._______ <br />Call Back�lnsp ct --- ---- -'--- ------T��- <br />._..._ �� <br />iJ" <br />' ion ____.._______ Fee Paid S �_�__ <br />1. � --------APPlicant <br />� �l � <br />. •. <br />1y7y .. - -- ------ ---, ------ <br />Plans",i�I r ved and Permit granted es requested hereih: <br />.^ <br />. ... �-��i�� �'-- Inspecfor <br />�Y /C /�� �_ _ <br />PERMIT I��'.' 4:�32 <br />