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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> Ail Work to be Done in Accordance:With" ' • <br /> -� City Ordinance , ,: . <br /> Eve \ � . <br /> rett; Washington:.�'�J�.�:.:�.�:::.............. 19.!O.1 <br /> . l� , <br /> Location......�.�.1..�... l..r•^e.r r��� <br /> ...._ ...:;:._-- ------------�•- <br /> . . 1 . . _. . __. .. . � . . <br /> .." <br /> . ��y, � .�r.r� . , n� X� i <br /> �. <br /> , _ <br /> 1 - • <br /> !�-�'�Y:'.'--- � '' --..r..- .....a'.�..:. <br /> ..... <br /> Owner........ ... ... ..� . ......,........ <br /> , _ . <br /> „P . : , y, ... .. �/ .. �� _. _ _. . <br /> � �, <br /> Aplicant.i......:::,:��?:L�:....::.......�--•--............................ <br /> Rough piping inspection <br /> Pipe in excess of 60' •�.�� :Gas Stoves _ <br /> Gas refrigerators___ /-_ ,Gas water.heaters_� <br /> Gas space heaters to,70,000 B.T.U. input <br /> � �7, . . . . .__. <br /> Gas space heaters over 70,000 B.T.U. input ._ <br /> � , _ . _ ___ <br /> Gas furnace's to 400,000 B.T.U. input — - <br /> Gas fumaces over 400,0OO.�LT.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 /> Call Back�ln�pection _-�. f Fee_Baid 5 �.------;--,,-r- <br /> ,-,,,-;==-J- - ;----v��.._._..._._.,r--AqpJlicant <br /> gtiu_8yE,�.�__��_ _;1;%''�1��-c�..�..._..-j.���-- <br /> Pla�nrapprcved and Permit granted as requcsiedlhleiein: <br /> '. ����'/`..C�Sc';r1<T`"-� <br /> - - --�-,�,_L.-.��.�.= ---- - -lnspector <br /> dY� -- -- ---- �/+ - /�;�� - - -/.- --- <br /> P�RMIT '��° 39�':? <br />