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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance'witfi � <br />City Ordinance <br />Evere. , , , t '„ ' '•-'l i•, _ <br />i f . . ' � <br />t' � �' . / <br />ft, Washington ..............�-��...----...-/-,-�......, 19�?� <br />Location......./...���.�....�:!!�rcJ!-�'�i�j.. ..l..✓�`^' ^- <br />J ,y �j o ........O..1........ <br />Owner........... �:':`Fr.. ..�i .j`.'.`e.�tA+ic<�I <br />......................... <br />Appl'cant:..:..!.:_ �r.'.5:�..�. %�....... �. ' � . . . <br />Rough piping inspeetion __ —__ <br />Pipe in excess of b0'._ __� Gas Stoves ___ <br />Gas refrigerators .:,_______... ,Gvs water.heaters _� <br />Gas space heaters to 70,000 B.T.U. input _._.__ <br />Gas space heaters over 70,000 B.T.U. input __ ___ _ <br />Gas fumaces to 400,000 B.T.U. input ____._ _ <br />Gas furnaces over .400,OOp B.T.U. input _____ __ <br />� <br />Conversion units to 400,000 B.T.U. input _______ <br />Conversion units over d00,000 B.T.U. input _—___ <br />Small appliances__ <br />----- - -- ---ro; -- <br />Call Back lns ecti n._ _� ._ Fte Pa�S�_ ____ <br />; .. L 'L'� __�1PPlicant <br />// , � , <br />°y-� ---�--�--+P`��-f- ---------------- <br />I'lahs approved and Permit granted as requested herein <br />- - -Q:S.�GIG''='�' �--- - . Inspector <br />�/�r <br />QY . - �tv�. . . _ <br />PERMIT �-`.' 14►56 <br />