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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance :wi�fi <br /> City Ordinance _ _ . <br /> Everctt, Washington....,...:����..�._........., .1.9_�l.. <br /> Location........�.:�-..m....�.....����..................... <br /> _ <br /> �_ �Q <br /> Owre r........ ..... ............. .�.'�':?^-7........................ <br /> ,., . . ... _ � �.� _ __ ...._....... <br /> Applic0nt......-�--•-- -.�..?Q':' ___... <br /> ............................•--•-�--.. <br /> Rough piping inspection <br /> Pi� in excess of 60' Gas Siwes <br /> Gas refrigerators ______ .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 /> _ .. _ _._ <br /> Gas furnaces to 400,000 B.7.U. input <br /> Gas furnaces over 4p0�00q..�B;T,�.1. input <br /> �_ _ <br /> Conversion units to 400,000 B.T.U. input <br /> Conversion units over 400,000 B.T.U. input _ <br /> �mail appliances �1�1��-� <br /> — �.. — <br /> CaII Back;lnspection __ Fee Paid$_ � � <br /> _ ��# �+pplicant <br /> BYhi ,-_-;--- —��— -- l o <br /> PIan4�pproJed and Permif granted as requested herein. <br /> *1 <br /> ------��.-� �-.�'��__ Inspector <br /> QY - - -- 4��• — — <br /> PERMIT N° 492i! <br /> 6 <br /> I <br /> l <br />