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CITY OF EVERETT <br /> i <br /> Application and Gas Insfallation Permit <br /> AIl Work to be Done in Accordance'with <br /> �.7,•-- � ��CitY dinance �,s. i <br /> , d ,G, � , <br /> � ` o����� � � ��..: .... <br /> , . <br /> EveretT, Washin�... ... ::.......:...... . ... 19........ <br /> .... <br /> Y' p <br /> Location.......1..'� � .........��.(`�. �y.. <br /> Owner........1�-'!!l�+4.....�j..�..../".`..`.R!�11�."`:!............ I <br /> : �� A6 i. A � �I <br /> � <br />- APPlican���7�.: . �...�'..:.............................................. <br /> Roughrpiping inspection _— K _ <br /> Pipe in exceat;of,60' . rt___�.. Gas Stoves . _ . _ - <br /> I � ; <br /> Gas ref�iger'atbrs _ _ Gas water hnaters._._...._ _ <br /> Gas space heaters to 70,000 B.T.U. input X <br /> Gas space heaters over 70,000 D.T.U. input _ <br /> Cas furnaces YQ' 400,000 B.T.U. input - . _ <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.kI, inp*=.- - _ _ <br /> �U�,Mnx�, <br /> Small appliances- �_ ��µ'�� _ �_ . ___. . . <br /> � �. , <br /> ��"-- /� ) �... _ <br /> Call F3ack Ins ion 1=ee Paid 3 '.L _ _,�.._. <br /> � � .d , , ,. <br /> , ,,._ .�-.— 6TC'���• ./Applicant <br /> . , .�'+'�./ <br /> Iivt. <br /> f>lans approved an ermit g�anted ab reqiiested ihdrein. <br /> ����—yi'�:�� Inspector <br /> Ciy _ . . _ . . . <br /> PERMIT *"' 1 � � <br />