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CITY OF EVERETT <br /> Application and Gas l:�stallation Permit <br /> All Work to be Done in Accordance'wifli ' <br /> City 4rdinance- - _ ; <br /> Ever �,'�� �.� � � '' <br /> � <br /> � . 1 <br /> ett Washington` :. , 'ti:s 1 r-�. 19.-;.� .. <br /> Locahon.�.,-.c�?` v..l �f�+7�"T,r"n�� ��----- <br /> _. -. ` .. ... _i, . .- - <br /> . : _ _ <br /> � . <br /> Owne r .:,... L �"r..... � t r�t •:-5....... ........ .. <br /> x . . _. _ � .0 _ <br /> Applicant. �,::�.-'� �h.� ...�.-- --�-� -' •--- - - - <br /> Rough piping inspection _�`.-- <br /> Pipe'in excess of 60' ____- --- Gas Sto4es __ �`___ _ <br /> Gas refrigerators _ _ ___ _ Gas water heaters �_ <br /> Gas space hcaters to 70,�00 B.T.U; input _ � _ - <br /> Gas space heaters over 70,000 B.T.U. input <br /> Gas fumaces to 400,000 B.T.U. input _ —.— _ <br /> Gas f� rnaces over 400,000 B�T.U. input <br /> Cr.;�vers��n units to 400,000 B.T.U. inpur — <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances_—. --� -- <br /> ---- --� � : <br /> _..I_.—.—:� ,_' -- . .. _ _ __� �.-_ <br /> Call Back'Inspection —__--_ Fee Paid $_�—.�,� <br /> � <br /> _ ,— . _ _ - Applicant <br /> By..---y.,— �Y`�''""�" . — --- ---;�— <br /> PI'ans`approved and Perniif giaAfed,as%req�iested Ferein. <br /> J <br /> __ _ __—.��'Fk<�_-.'r[.{�5'^,�Cts ----Inspector <br /> QY. _ _--��' ��'�� � ---- <br /> PERMIT '1;" '' '`' : <br />