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CITY OF EVERETT <br /> Application and Gas Ir.stallafion Permit <br /> All Work to be Done in ,4ccordance with <br /> City Ordinance <br /> (. <br /> ' Q C _ <br /> Evereff, Washington.......f�::..:....-F....i:................ 19�'.��.. <br /> nwneren........�. Q<S?...U,.7..:!/f'.�.:..:9:��! .i�........ <br /> Ll,.�..�.::��............. a-...... . .. <br /> _ � d �' �,-^�-.. <br /> a L ' y U <br /> . . ,, , <br /> Applicant......�...-�u:-.�,%:C'.::^-!.....�.R.^.i:..'...' I .�.,_.. <br /> Rough piping inspection _ x . <br /> Pipe in axcess of 60' _ ____ Gas Stoves <br /> Gas refriAerators ,Gas water heaters- _ ._ <br /> Gas space heaters to 70,000 B.T.U. inpuf }� <br /> Gas space heaters over 70,000 O.T.U. input <br /> Cas (urnaces to 400,000 B.T.U. input _ _. <br /> Gas furnaces over 400,000 B;T.U. input __ <br /> Conversion units to 400,000 B.T.U. inpuf _ __ _ _ <br /> Conversion units over 400,000 B.T.U. input _ _—__ <br /> Small appliances .__ . <br /> _ _ .. _ <br /> ':�:z--- <br /> ---.....— _ _ --rc---- <br /> Call Back Inspecfion . Fee Paid $ .l.. "e„_.,. <br /> . ._" . .. . . . . _ . . . Applicant <br /> QY'•-�- �-�' <- �'_ ��` . /��! .�.�._ <br /> Piahs approved and Permit gr�nled a! rcquested hereln, <br /> y � <br /> � Iy1J}�r�11'ti�-4/r: :��p4: Inspecfor <br /> rT <br /> gy, (l )�� <br /> PERMIT *�:"' �� f�� � <br />