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� <br /> COTY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> Gity Ordinance <br /> , <br /> [verett; �Washington...:.....t:...:.aG�...%... � <br /> < i 19'; c_. <br /> ........... ........ <br /> Lo[ation..... ----..�::'..:�<.�...�..0:m�F -_"� <br /> ' ---------��--'--�—�----... <br /> Owner.. ......... � _ � �_ <br /> .:..; r F.r: f��..:'.�.[ � <br /> ......:... ........ <br /> _ _ . ._ , <br /> Applicant.-+...............0 .`�•.`—` ' ���......::....'- ..._....... �---...... <br /> Rough piping inspection —___ <br /> Pipe in exc�ss of 6�: ._ _ Gas Stoves_�_ <br /> � <br /> Gas refrigerators _`__ Gas water heaters.�_ <br /> Gas space heaters to 70,000 B.T.U. input <br /> : � . ,. <br /> Gas space heaters over 70,000 B.T.U. input <br /> _.__ <br /> Gas furnaces to 400,000 B.T.U. input ___ <br /> Gas furnaces over 400,OGO.,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 /> t-.�— <br /> . <br /> — ----------------i�---- <br /> en <br /> Call Back;lnspection �_____ Fee Baid $_���_ <br /> ----_,-----�—�---_-------APFlicant <br /> BY1� . �--..`4�___ i!�� ---,_._� <br /> . <br /> Plans'appreved and Perriit g�anted as requested herein. <br /> l . <br /> � <br /> _ ---- �. ��:;'•-�^i=.°•1�1__—Inspector <br /> ; <br /> r'— <br /> B�� —. _ _' _ _ -- <br /> PERMIT _"�" "�, � � <br /> � <br />