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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance iWi�h=�' ' <br /> City.Ordinance- _ __. _.. <br /> Eve ett � , ' ' ) <br /> � � �� � ��.:...'�.���...,. 6' <br /> Washington..:......... 19.../.... <br /> �ocation._-L.�jU �! <br /> .......... ...........'--.............- '----................. <br /> . . . ��..�__p.. ��. .�..�.�.._.�............ ......_. .__ _. . .. .. .. <br /> Owner....---I.U`..yw�-...I��.. y�.f.�[.s..c.......... <br /> ,.. .�J. },�,, ) _. <br /> Applic�nt'.�.'[�"�'1,°::���..��1`�.�ck� ..� 7....... <br /> Rough piping inspection <br /> Pipe in exc Jss'pf 60' �- Gas Stoves - <br /> - � X <br /> Gas. refrigerators iG�s.water heaters. <br /> Gas space heaters to 70,000 B.T.U. input <br /> Gas�spece heaters over 70,06�0 LB.T.U. input _ <br /> _ __ , _ . _ ._....... .. <br /> Gas iuFnaces to�,400,00C D.T. . input <br /> Gas furnaces over 400,QQO..rB�T�� input <br /> Conversion cnits to 400,000 B.T.U. input <br /> Conversion units over 400,OJ0 B.'�.U. input __ <br /> Sma I I.appl iances <br /> i ,, . , , <br /> +—�,�.,.�,� . ------�7.,-- <br /> U <br /> Call��adc'Inspection __ Fee.Paid �� <br /> �,, ��� ��� �D uL"'?� <br /> 1_TM _r�'�"'o-�= �i�,�c�y.,�' ( � � �licant <br /> �Y'il i�•�.L[ (C�C✓�W_� <br /> i� <br /> PIanS�e({�rove and,Permit granfed as`req•aested he�ein: <br /> ._------�� UECOK"� __Inspector <br /> QY --- <br /> �?ERMIT N:' 4515 <br />