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l <br /> CITY OF EVERETT <br /> Applieation and Gas Installation Permit <br /> All Work,to be Gone in AccordancelW{�h' "" <br /> _ _. <br /> _. .._,. . .Gity Ordinance . _.._._...-�, ( •:, - <br /> , , ; �.. � , ; ' <br /> Evere., c:,,, / ``n�--��-y.����.,.��..���.� <br /> tt; Washin ton::::::-•: - 0.-�r'... ..• <br /> Location..--r:r..... ,_�. �� _. � <br /> _. ....... �J <br /> ...... ...... <br /> . _ ... _. _. ,.. <br /> , ...... <br /> 't.�:3�:.-�J... � �L.w:4:... .................... <br /> Owner................ .. ........ <br /> � 1.�.. <br /> __. <br /> �J _ ___ <br /> �ewei.i-�. _._\. , ..... �`._ � ( - `�.--. ... '--__ ;__ <br /> ...---' <br /> APPlicant....��.:�'. :C+:a:�•..�•-i'-• r�- � f�� " <br /> Rough piping inspection �— <br /> -" ' Gas Stoves <br /> Plpe in ei:Zess �of 60'� �� - <br /> r � ' <br /> Gas,;�retrigerators FGas.watec-heaters. <br /> Gas_space. heaters to.70,000 B.T.U. input .., _._.., <br /> b.: - e <br /> �:,I,.� u!Y\ .. .. . ._ . �.�� _ l, _ .1 <br /> B.T.U. input <br /> __ ,� __.._ . . . ._ <br /> Gas s ace heaters over 70,00 <br /> Gas furnaces to 400,000 B.7• � <br /> '^��f U. input. —� <br /> Gas fumaces over 400,O�Q��T U input _ <br /> I�_s� i iC.ri <br /> Conversion units to 400,000 B.T.U. input — , <br /> Conversion units over 400,000 B.T.U. input <br /> Stnall�aPPliances �c�, _�c� <br /> _.�. . �� � <br /> � ezi. .._ <br /> Call Back!Inspection-� _ Fee.Paid 5�--rr,cz <br /> . � <br /> �_� _Aqpl�cant <br /> '-f 4`t- ��"_._.......�_�--- , <br /> r. t �� .c� .� 9 ( S� � �. <br /> B _�•..,-�--��id �-_" <br /> �yti << <br /> Pl�ns`approved end�Pe�rii'l�r�rSted as;�equestedJheiein: . <br /> � ' ; r' �yI�[Z__Inspector <br /> - —�1��'S�R9���.7_ <br /> gy----d�-=�� <br /> PERMIT I`�° ��'? <br />