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_ � • <br /> i <br /> CITY OF EVERETT <br /> Applita�ion and Gas Installation Permit <br /> AIl Work.to be Done in Accordancelwi$5- <br />' _ City Ordinance _ _ <br /> Evereft, Vdashington....�4iC�:t,,:Sr......(...�...., .19_.r/7 <br /> Lowtion........(./...��u-.l���<�...... <br /> _. ..: ' ....__ .. _ <br /> � - <br /> Owner ..... -t°-t<r,t..� ��. _� <br /> S ... ... .-!ek..,l'i1_......... <br /> „ , ,.., . � / _ .._ . ....._ . <br /> i4pphcant..........�0-=. .... ..........- - --_•_.. .............. <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 /> � r; _ . ,;,i; . � .._ . ...__ x� <br /> Cas space heatcrs over 70,OOb B.T.U. input <br /> , . _. _._ ... _._ <br /> Cas'furnaces to 400,000 B.T.U. input <br /> Gas fumaces over 4 0�0 . B�T.U. input <br /> ��., �. � �_ ut, <br /> Com•crsinn units to 400,000 D.T.U. input <br /> Conversion units over 400,000 B.T.U. input _ <br /> �mal' appliances._— _ _ <br /> �,, ,.� � , . <br /> -- � ,.�.�-rt-;-� �,.. <br /> � „_ <br /> Call Dackilnspection ._-____ Fee.Paid $� <br /> � . �, ,:, �. <br /> E,� /+Fplicant <br /> C�Tf�=�- � <br /> Ffans'ap�iioved and Permit granted as requested herei�i: <br /> —---� , � <br /> ^-li.�S��;::^__ Jnspedor <br /> QY---- - -11-�t�--� -- _ <br /> PERMIT N`: 45�►3 <br />