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� <br /> CITY OF EVERETT <br /> Application and Gas Insfallafion Permit <br /> All Work to be Done in Accordance�wffh <br /> City Ordinance <br /> EverMt, Washington.......1:'�', ' ; .....:.'.�:'.., 19�.. .].� <br /> . .... .. <br /> � .. /� : r , ,- <br /> Location_.'..'............_ � c ..,�; �-'. <br /> .........:...............:....t.tn... <br /> � . .......... <br /> PP,er.:..������7t<:' . - �ia+.�s:4,-�L................_. <br /> A Wnlicant.�.:..✓.,,l��.!�...� <br /> ...................................... <br /> Rough piping inspecfion . _ _ __ _ <br /> Pipe in ex�ess of 60' _ . _,_ ___ Gas Stoves _ i <br /> S.,as,refriyetators ___._______ �Gas water heatersf <br /> --- --- <br /> Gas space hcaters to 70,000 B.T.U, input __ ___ _ <br /> Gas space heaters over 70,000 B.T.V. inpuf . _ _ <br /> Gas fumaces to 400,000 B.T.U. input ___ _ _ <br /> Gas (urnaces over 4p0,QPq.,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 /> Call Dack�lr`spection . .________ Fee paid $.�___; _.._,,,_ <br /> . �--�_ - ../�pplicant <br /> ._.._, <br /> -------- <br /> ��� - - - <br /> �y,. .�:. <br /> �. � :: r--_ _ --- <br /> P�ans Approved and Permit granted as �ePuested hemin. <br /> -(� - -- . .Ll,'S_'! �(�:_ ;;_�',�li� Inspecfor <br /> BY V"QA�'C_ �:G ��-�s+EL...✓ <br /> PERMIT �':' �5�)n <br />� <br />