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CITY OF EVERETT <br /> _�►pplication and Gas Installation Permit <br /> All Work to be Done in Accordance 1�41fR" ! <br /> �. ; , ..: . ..1 -. City Ordinance <br /> . - \ .. ,... .__ _ <br /> Evere, , I,.f' <br /> , , , � <br /> tt, Washin�ton................... '� '/ <br /> .....:•..`�:-r...., :19....rl... <br /> Location.�ry�_�...� <br /> _. ......._ . ---��--��-'--•-...�1:........................ •----....... <br /> Owner.... ...... .. .. m.e�y _ . <br /> dPPfic�anf�.�l..�.j.,."_.�L�-....�--•-'- •--•-•-•-•..............•--._...... <br /> ..... <br /> , <br /> _.�.�...�.t <br /> .. . .�:.. <br /> � 4'4' .; -. ..�].t:s_......f....-•---... <br /> Rough piping inspection <br /> Plpe.in excess of 60' ___ <br /> Gas Stoves _ <br /> Gas,,refrigRr..tors _ ;Gas.water.heaters. X <br /> Gas space heaters to 70,000 B.T.U. input <br /> ' � [��',1 _ _ ,!: ; � __ __ _ _ _ <br /> Cas space heaters over 70,000 B.T.U, input <br /> _. 'C <br /> Gas�fumaces to�,400,000 B.T-.�U, i�put __� <br /> Gas fumaces over 4p0,�OD_ B <br /> �u• �iVrT,U. input <br /> Conversjon units to 400,000 B.T.U. input _� <br /> Conversion �ni1s„over 400,000 B.T.U, input _ <br /> Small aJ ian � - � <br /> _ . ,�.oiP <br /> i � p �; . <br /> i ���—°�.., �. ;, <br /> Call Back�li ection / � <br /> � �� —.Fee.P.aid $ <br /> /1 �F,_'��' <br /> �,. :, � �:a <br /> _Applicant <br /> ��ri-u.-;---° �^—.---- <br /> --'—r:: <br /> Plah's�a�proGed ' �Periiiit gran ied as requested fierein. <br /> _�e�, , ,p,��,� ��� � <br /> �L�—""'�'1-"`L'��__Inspector <br /> �>'— — - ------ <br /> PERh�;� N° 47U3 <br /> -�:. - <br />