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CITY OF EVERETT <br /> Applica�ion and Gas Installation Pc�rmit <br /> All Work ro be Dcne in Accordance'with <br /> City Ordinance <br /> , <br /> Evereft, Washingfon........./ � �, t� � / <br /> ....... 19.�;..,�' <br /> .................... <br /> a �/ , r. <br /> Location........^.,_��,,;J O P,t� .� � � <br /> .......................�....G......�........ <br /> . � . � _..,..._ _� �( <br /> Owner'......u��..'S_.`�.�:7X!.!!..Jf-:.^.:....e,f..c''-� .�yf..�'�.1. <br /> r.............. <br /> Applicant..........`. . . rr <br /> . <br /> .......�`::...........:.:�.- ... <br /> Rough piping inspection _. _ _ _ <br /> Pipe in excess of 6G' _ _ _ _ Gas Stoves . <br /> Gas,refrigerators _ _ Gas water heaters�/._ .. <br /> Gas space heaters to 70,000 B.T.U. input . J`i_ <br /> Gas space heaters over 70,000 B.T.U. input __ _ _ <br /> Gas furnaces to 400,000 B.T.U, input _ _ _ <br /> Gas furnaces ovcr 400,OOQ.B,T.U. input _ _ _ <br /> Conversion units to 400,000 B.T.U. inpuf _____ <br /> Conversicn units over 400,000 B.T.U. inpuf . _ . <br /> Small appliances _ _ <br /> - -- �-•--- - - - —„�+5...._. <br /> Call [3ack�inspecfion _ . . Fee Paid $ �. , , <br /> _. -� '�� _ <br /> Applicant <br /> By:: �w• � ' � . _ _ . .._.__ . <br /> I�lans approved and PermiYgranted as requesled herein. <br /> .. _ �' 1�(S'�ll� .J .��� <br /> Inspecror <br /> Q> I � � ��r_ � <br /> PERMIT *d�' � � - �; <br />