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CITY OF EVERETT <br /> Application and Gas Installafion Permif <br /> All Work to be Done in Accordance �vlth' <br /> Qty Ordinante . <br /> Evereft, Washington.�f��, "1�nc7........, 19.1..`. <br /> Lotation��.�_I............�..EJ.vz.!'�r-.--'{�' <br /> ...................... <br /> Owner.....�''. . �.....��.�..�..... <br /> .......... <br /> . <br /> Applicanf.... .....f...T..r.:..�....., <br /> ................................ <br /> Rough piping inspection _ .X . <br /> Pipe in excess of 60' ._____ _ _ Gas Stoves . _ X_ <br /> Gas refrigerafors - __ �„js water heatersJ....x_._ <br /> Gas space heaters to 70,000 B.T.U. input . ^ _ <br /> Gas space heaters over 70,000 B.T.U. input <br /> Cas furnaces to 400,000 B.T.U. input <br /> Gas fumaces over 400,000 B,T.U, input <br /> Cornersion units to 400,000 B.T.U. in�. ,t _ _ <br /> Conversion units over 400,000 B.T.U. input _ <br /> Small appliances _ _ __ <br /> •-•-•-�-�-�-- _ _ _/--�,,.�_- <br /> Call Dack� nspection Fee Paid 5...�!.' `�'�.�._ <br /> . ...-r.r - '.�� _. . . . . .Applicant <br /> 1 _ ._ <br /> B . o-�.,�,� -.�,r�---- <br /> Plans approved and Permit granted as requested iherein. <br /> ' . -:v=�.ti'%�.'�sr7 - - . _ . Inspettor <br /> Y <br /> �Y A� ���f <br /> , PERItII l �Tn - .� 4 � <br />