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i <br /> � <br /> GTY OF EVERETT <br /> Application and Gas lnstallation Permit a <br /> f�ll Work to be Done in Accordance�wiTh ` <br /> Lity Ordinance --- - �:-, <br /> : , . ,. _. . ,1 ,- � . — <br /> _ , �/ _ I <br /> Evcrett, Washingtan..:.:�r�c.�P!.'�....�..�....,...,. 19.4..�.. � <br /> Location..........r,�.to.�7:-.......�......................... ' <br /> .._........ .._. . <br /> Owner..............�Ji�l.(,�.EE.'.�1..... .. .�................. - I <br /> ., .. _ . ...... l .. . ... �_.... .......... _ . . <br /> . . ( `.,i- � •�� ' n..s.f� �rt� �� � <br /> Applicant:............•--� :"�1.:. - •---1--4....................-••...--.._ <br /> Rough piping inspection __(�_�_ <br /> Pipe in e�cess of 60' � '� - - Gas Stoves- "' " <br /> �Gas_fefrigeretors ._—_:_ :Gas water heaters <br /> Gas space heaters to 70,000 B.T.U. input __�..— <br /> .:.� � : I�,1. . . _ . .. . . .. <br /> Gas space heaters over 70,000 B.T.U. input <br /> , <br /> Cas fumaces to 400,000 B.T.U. input�; <br /> Gas fumaces over 4AO,OOO.,B.Ta,Ut input <br /> Conversion units to 400,000 B.T.U. input <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances__ �..----- �_ � <br /> \ .;: . <br /> — T;— _.��� <br /> Call Back+lnspection _ � Fee Paid $_�_�2 <br /> ._.,.__ �.._�._.—__.. ._ ��ARp�licant <br /> Dy'1:,"(, 4-f��""'�"L'L��- ,-'—r----• - <br /> Plans approved and Permit granted a5 requesYed lk��eih: <br /> .c�� � �� ' -- • �-. <br /> _ ________��- ' ��r .` 'D Inspeetor <br /> BY --- /{� <br /> PERMIT I�T� 4!'^fi <br /> ,_���' <br />