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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance witfi =�<" <br />- -- City Ordinance _ <br />Everett; Washin o �r<'r:�-:' _i :.. ( !,l <br />g ., ' _ <br />' ---�--� ._ ........ <br />ri3- f�-- •--•-- -..., _1.9,,,..._. <br />. ; � ' , - . ; ; <br />Location........ �----•-'- ., , . �_• �' �c-_ � <br />_ _ --�• �---�- <br />_ ...._.... <br />�J , _t <br />Owner .... � i i`.. 1�/ S,��r✓C.��.: _.__.. <br />- ........ <br />,,,,�.r.��.- . � J � � <br />` - <br />Applicant ..}, ! r.':'. j� � -'Fy.. ��i��.r <br />Rough piping inspectio� _ <br />Pfpe ir excess of 60' ' _ Gas rStoves <br />Gas refrigeretors _ �Gas-water.heaters. <br />Gas space heaters to 70,00O16.T,U. input <br />i �J. _. ._._.__. .,1. <br />Gas space heaters over 70,000 B.T.U. input �..�L <br />Gas furnaces ;0 400,000 B.T U. input _�` � <br />Gas furnaces over 400,00�O.�BST.U: input _ <br />Cc+nversion units to 400,000 f3.T.U. input __ <br />Conversion units over 400,000 B.T.U. input __ <br />Small appliance,___4 <br />Call Back;lns ection ._____ � " ~ <br />,P Pee Paid S��_,-"""" <br />i---*-- <br />-t' ;-; -- — <br />- --•----------�---------APPlicant <br />BY;. j...;i�` _i'__._. _.�� —�? ;.i O �3 <br />: , / _ <br />. :� . ��. _ � __ .� (A��_ <br />;o <br />F'ia{is�apFroved and Peimif g�anted as requested.'lie�ein: <br />- , � <br />__ _-_ �,.v�Yi •..�z•'/�t, _..��., T;�� <br />' , I nspedor <br />! _ f_`--- <br />BY-- '�-�-��- ------ <br />PERMIT ?.T�^ �.f��. ; <br />