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CITY' OF EVERETT <br /> Application and Gas Installafion Permit <br /> All Work to be Done in Accordance with <br /> City O/r�dinance <br /> Evereft, Weshingfon....._�:!:..�.�:�...�'......_........, 19S?� <br /> Location...........�� J .�)..'S.......l.�sP�t1-t::�Sl.—.��X........ <br /> � ... .. �Y �.-¢-R.i <br /> Owner._.......c4.1.��l:_S,f!.r......... ..:....... .... ....._ <br /> Applicant............`.'.\�.c.4�..........:. . <br /> ; • <br /> ....J . ..:...........__._...._... <br /> Rough piping inspection _ ._ h - <br /> Pipe in:excess oi 60' __ Gas Stoves <br /> Gas refrigerator� _ Gas water heaters . _ _ - <br /> Gas space heaters to 70,000 B.T.U. input � <br /> Gas space heaters over 70,000 B.T.U. input <br /> Gas furnacfs to 400,000 B.T.U. inpuf <br /> Gas fumaces over 400,000 B.T.U. input <br /> Conversion units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 B.T.U. inpuf <br /> Small applianccs- -- - - .--.__ ___ _ _ _ _ _. _ . <br /> __ .___..�---- - _ _ _ . __..__.._. <br /> SJ,� <br /> Call Back'Inspection Fee Paid $ . _T. _'-_. <br /> - - - . _ _ . ._ . _ ._ APPliwnt <br /> . .��-� --- - - ---/� � � /' . <br /> BY�. . . �.JL9.s.A'�� _C.�� �.� . . .. _ _ <br /> plans Approved and Perpei�yranted as requested herein. <br /> . ( J <br /> � � T. <br /> �'�Jt:�-- - -�{(i Inspecto� <br /> oy �� ��L- � <br /> PERMIT '�'.' :t � ' !i <br />