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C�TY OF EVERETT <br />Application and Gas Installation Pcrmit <br />All Work to be Done in Accordance'with <br />City Ordinance-- . - <br />tverett, <br />19�...�. <br />Lo c a t i on---..... _ i ..:........... <br />y / , <br />.......4 _:�-t;a::...:t�.' .. <br />(.J _ ... ... . ........ .. . ...{ <br />Owner........�; ,¢'�'1�L„ . _ <br />/ <br />.......... .. ........ <. <br />� ....... ...... ...•._•-•-. <br />, , _ _ �... � <br />/lpplicant..._-.- _ <br />. _...... <br />.., . ... .. ..............' �' ' ° <br />Rough piping inspection �;� <br />Pipe in excess of 60' _ Ga5 Stoves <br />Gas refrigerators _._ __ Gas watec heaYers �_ <br />Gas space heaters '0 70,000 B.T.U, input <br />Gas s ace heaters over 70,000 B.T <br />P .U. input <br />Gas fumaces to 400,000 B.T.U, Input � <br />Gas fumaces over 400,000 B.T,.fJ 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 />, "`____----�,-,r-; - <br />Call Backjip;pech n_.0 . Fee.Paid $. � = <br />""'—Lz----- <br />� �' Applitant <br />BY�1 � _ . . � � O__� � <br />'__'_73"�_ <br />Plans'��p��oved znd Permit g�anted as iequestedkierein. <br />"`-�rt"� --=�=� L'--_Inspector <br />°'✓ - - - - - - f ` -�f t... ---- <br />PERMIT '°, ,� ��'��� � �� <br />