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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance'wi�1i'' <br /> .. ` -. '. .r.ity.Ordinance _ _ <br /> ��. ' ' . � { � - <br /> , I ' . 1 <br /> Eve ,` �//��(( /� -�,y��� <br /> rett,.Washington...�s..�'�.,5....._. ..�tl.......,. l�.7 <br /> .- _ <br /> Locarion....... ._�.�.�.,_<<-..`.���'.-c5 .�,....... <br /> Owner ��.� ..d �`��� <br /> � 0 ! ;� ...........'.--''.c........... <br /> PP � � f � �1 . � _ 1 <br /> ..� i -;., .. <br /> � ._.Iic�ant�.I;--�-...:�. . ... . . .. <br /> Rough pip�ng inspection _ <br /> Pipe:in excess�f-60'��__ Gas Sroves _ <br /> C.as refrigerators __—_.�_ ,Gas water heaters..v.� <br /> Gas space heatcrs to 7C,000 B.T.U. input — <br /> _ � _ _... .__.._ . <br /> Gas spacc heaters oaer 70,000 D.T.U. input _ <br /> �. _. .. _ . . __ <br /> Gas fumaces to 400,OOQ B.T.t�l', input �_ <br /> Gas furnaces over 400,OPP-.6�T�J. input <br /> ,�. .. . i � r� <br /> Conversion,units. to 400,000 B.T.U. input _ <br /> Corndrsicn units ovcr 400,000 B.T.U. input _ <br /> � <br /> Small�appliances__ _�� <br /> �� i; . .. <br />' --1-,, -. . :, -- ��^;r- <br /> Call Back�lnspedion ... _ Fee Paid $/ ;_� <br /> j,r..-�-- .Applicanr <br /> y+�* , — -----__..._�� ..- �----- <br /> � 4`?,; <br /> . 45�appioJed and Per,rnit g�anted as reqNested herein. <br /> , �, � <br />� �h"��"�' ��'�S`�t Inspector <br /> i <br /> - ----��� � _ - <br /> PER!�lT N:' 4530 <br />