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c <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AlI Work to be Done in Accordance�witF' � <br /> � _ <br /> (` City Ordinance-- +I <br /> Everetl, Washington.......... - <br /> _ , <br /> r.' ' \ . 1� S <br /> �'�� ��---•--t..l��-- <br /> �-- -------- --- - <br /> Location..�3 Q � �� <br /> ..."'...........'..:: .... n�'f�`. <br /> ... <br /> � - r . ._. ... ...._ _. <br /> .. <br /> Owner �.... , ,., <br /> / �� <br /> . . <br /> Applicant T .:� .:.. r:��,r . 1. :..... .............. <br /> l � <br /> Rough piping inspection �\___ <br /> Pipe in excess,of,60' ___ :Gas Stoves <br /> Gas_refrigerators Gas water_heaters. <br /> Gas space healcrs to 70,000 [3.T.U, input � <br /> � __. . _ _ <br /> Cas space heaters over 70,000 B.T.U, input _ <br /> _ _. _. . <br /> Gas furnaces to 400,000 B.T.U. input <br /> Gas fumaces over 400�000_ B.T.U. input _ <br /> Conversion units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input <br /> ' Small appliances__ <br /> �. � <br /> � � � , <br /> —��.;'. <br /> �all Dack�lnspection ______Fee Paid $��^ <br /> .- u.. .y.. <br /> Fr_,, Applicant <br /> � <br /> CY –t' � � --7 J <br /> °lans�apdroved and Per iY,g�anted as requested he e�n. <br /> ��d� , . �, <br /> – --�' ������—_Inspector <br /> BY----���/��_ = <br /> PERMIT IV':' 4963 <br />