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, <br /> CITY OF EVERETT <br /> , Apptica"ion and Gas Installation Permit <br /> All Work to be Done in Acmrdznce witFi � ' <br /> City Ordinance <br /> _ ,_ .Y <br /> � • 9 J <br /> EvereTt; Was:�in ton:.!:... ��..t..tt---::1................. 19�::J..F <br /> Location.....----�:y- - ,��Z�� <br /> ' ' /1...:1------ =r.:rr.::l�s-.� <br /> _ . ..�- .. _.._ <br /> ------� -.... <br /> , �, ,. __..... _ <br /> � , , <br /> Owner....-----.5_.:�lr��2 �� iV Zr u_ � <br /> r. ......:.......... ....-G 1._.. <br /> , �......... .. ........ <br /> � _ � <br /> Applicant�.. , , , , 2 <br /> •.:- ...... <br /> :.., r .._....- .. <br /> R.;,ugh piping inspertion _- <br /> Pipe in zxcess of 60' __,-___ _ _ Gas Stoves ___ ____ <br /> Gas refrigerators ____ , Gas water heaters___��,_ <br /> Gas space heaters to 70,000 B,T.U. input _ <br /> Gas space heaters over 70,OOOIB.T U. input __ __ <br /> Gas fumaces to 400,000 B.T.U. input _ __ <br /> Gas furnaces over 400,0OO..B.T.U. input _ <br /> ,_ ,.�� s _ -- - <br /> Conversion units to 400,000 B.T.U. input . __ <br /> Conversion units over 400,000 B.T.U. input <br /> Small �ppliances�_ ,_� _� <br /> ' -'- t..T. - <br /> - � �_—'�'----.�--�----_.._ <br /> �'r-- <br /> Call BackjlnsRection..�..__`_ Fee Paid. / �� <br /> , $_L 4_, <br /> i , . <br /> -- - J' <br /> ,. _ '-' ------ ---- -APP,licant <br /> ('� { � � -r � . <br /> B '_.�.�'---=.�_.�-tt .���t_� 1. <br /> Yr, --� - <br /> _��,�--.. <br /> rJ <br /> Plans approved and Permit granted,as requested,Kerein. <br /> ---�-�-4-4't.:_n•_.---�Cr�t;�<_-- - _Inspectoi <br /> 7 <br /> Cy _ _ __ - --- =�- <br /> PERMIT ? r�' � , <br /> . ���t :�.�� � - <br />