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CITY OF EVERETT <br />Application and 6as Installation Permif <br />AIl Work to be Done in Accordancelwith � <br />City Ordinance . ` ' .- - <br />Evereit� Washingron.......�,d:C.�.,.1..� :.............. 14(;Jr� <br />Location......�.`.>...7.L?.. �...... D .� ....... ...........�----�--...... <br />Owner . ��.C'f�'Yl_:._ tzr�c4.1�`� "!�'�'-'.�.-.� . . . <br />; ^ ' <br />Applican'. :..........' ............. :...�--::.'.:.i:................................ <br />Rough piping inspe;.tion LLI`� � P <br />Pipe in excess of 60° Gas Sroves - <br />Gas refriyerators �.__._ Gas.water..heate`r,s,.`x�'!��� <br />Gas space heaters to 70;000 B.T.U. input _.�!` <br />Gas space lieaters over 70,000 B.T.U. input <br />__. <br />Gas fumaces to 400,000 D.T.U. input <br />Gas furnaces over 40C,OOG BtT�U. input <br />Conversion units to 400,000 B.T.U. input _ <br />Conversior, units over 400,000 B.T.U. input _ <br />Small, appiiances_ — _ _—._ <br />, ., �. <br />s� / v�o <br />Call dack�lnspection ��__ Fee Paid $,�_____ <br />_�...._�._.. - --APPlicant <br />���� �� �.�K <br />Dy.,._,.,P�S::.h�dt-�____ //�. ! `� �, � --- <br />Plans Approved and Permit grer�ted as requested Fetein: <br />_ —_S�'_`�="d"�i.�_�•-L_---Inspector <br />i <br />BY - _�<`—`,��� --- ---- <br />PERMIT Td° 3::� t �► <br />