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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accardance,with" <br /> ` . _,,. y � _. City rdinance <br /> Ever � 1 . , . . :�f �..\• . . <br /> �� , . ,.�.�.�11, ' � ( <br /> � � �� <br /> ett, Washington...... ^° �..1., -- .t�.�....--., 19.:.,.. <br /> Y......t..... ._ <br /> Location.....T ` �`7 �='"�'�'! <br /> ............ .. ...............'-----............................ <br /> r. _ _ _ <br /> �`_'n.P Ev 4y•.�. <br /> _ ... ... .__�. �...r 1... .. . .. . ........ <br /> .._ ...--- �-- •----� <br /> A 1 `�}- __� , r <br /> . <br /> .. .1� '�,...... .i.;'..t?�..�.L'�(I�i::.._rl�...._.. <br /> Applicant� �"' � <br /> y � <br /> Rough piping inspecfion _____ <br /> Pipe in exceys�of b0=_�;;,-,� Gas Stoves _____ <br /> Gas refrigerators—__ �, iGas 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 /> r <br /> �as fili�naces to�400,000 B.T.�U. input <br /> Gas furnaces over 4�0,O��.B,T.U. in u1 __ <br /> i „ .� �;�u,�, P <br /> Conversion units to 400,000 B.T.U. input <br /> Conversion units over 400,000 B.T.U. input _ _ <br /> Small appliances_____._ <br /> LS�,e�T.�f �NA�CK Qo�7e �,a�. ,.` . <br /> , � do <br /> Call Backjin,�,ection .__ Fee Paid $�,_r.�,__ <br /> � �;_� ,: <br /> F n�--� �e'�'a Appo icant <br /> d/ <br /> pY � �'�t ��--- �� � -- <br /> -, <br /> Plaiti5=Ap3Fov and'Fermit�,g�antedias Tequested h�ro�in. <br /> � �. , <br /> — --- -'-'-�dti�—.Inspector <br /> �Y -- -- <br /> PERMIT I�':' 47�2 <br />