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CITY OF EVERETT <br />Application and G, s Installation Permit <br />All Work to be Done in Accordance'with ' <br />City Ordinance <br />Evereft, Washir.gton.,.....��,E�/l� I� ... G 7 <br />) � ......... .... .....19...l. <br />I_ocation .....L..�'.�.^�!.... �"."<'.rS'.!...... ✓�Q <br />,� .. .......c7"c.r:� <br />_, . _ . <br />Owner........... �t.:d:.F.r :t: y..... y�. � <br />, .. .... .. <br />U_ , � . - .. ...... .. . <br />,.. . , . � �............. <br />Applicant....:.....,.<rS'.1.'...�l�(�.!?.'f..::'_.'.�'> . , . <br />Rough piping inspecfion ___ _ <br />Pipe in excess of 60'._�_____ Gas Stoves _ <br />_ __ <br />Gas refrigerators _.____ �.___ _, Gas water heaters _�.__._. <br />Gas space heaters to 70,000 B.T.U. input _____ <br />Ca, space heaters over 70,000 B.T.U. input ____ _ <br />Gas (urnaces to 400,000 B.T.U. input __ ___ <br />Gas furnaces over 4DO,OC�O.,B�T.U. input _____ __ <br />Conversion units to 400,000 B.T.U. input __ _,_ <br />Conversion units over 400,000 B.T.U. input ____ <br />Small appliances____�___ _ _ �� _ <br />, _ _. <br />- -- .- � ��/ � � <br />_ _.—m>,--, <br />� _ Fec Paid 5_1� " � -- <br />Call Back Inspeetion .._______ � � � <br />� ,----------- <br />� ---------- APPlicant <br />.- � _ , <br />--- <br />p„ C� � 1_ , .. '�$ _ �/ � I�'_'_ '__" <br />. .,.._,_._--... .� <br />, ., --- <br />-- <br />, -.---- <br />Flans"approveJ and Permit granted as r�yuested herein <br />- �� -(!.��'���;/L;�•, � Inspector <br />�y � � _ }�� -�'- - <br />PERMIT �\''.' 4�li,y <br />