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CITY OF EVERETT <br /> Application and Gas lnstallation Permit <br /> All Work to be Done in Accordance with <br /> City.Ordinance <br /> , � <br /> Evemtt, Washin' i <br /> � � • �`-�' / <br /> gton.. �.!.:.',�:.:::..t.�...--�--. 19.S.:r_. <br /> �� ,i �, �i /- " 1' ._J_-... <br /> Location....../..:..:.r.`.: d....l.c:�:�....... „t i-��; .......... <br /> . <br /> _ _.._...: . ..... . .: .. <br /> ; , t.. ,�, , .�c, -� f <br /> Owner... ��:��„ ; ....... 1.5-!A-ir .2�.5� <br /> _ 'tl / .... � _.�.... <br /> Applicant..l...,,��..!:..,�U....:.:- .............._.............._. <br /> �':ough piping inspection _n _ . <br /> �'�pe in excess of 60' ___ _._ Cas Stoves _—� __ <br /> Gas,refriggrators ____� Gas wamr heaters_�___ <br /> Gas space heaters to 70,000 Q.T.U. input _ _ _ <br /> ";r�s space heaters over 70,000 B.T.U. input ___ _ <br /> Gas fumaces l0 400,000 B.T.U. input __ _ <br /> Gas fumaces over 4G0,000 [3,T.U. input _ <br /> ��nversion unifs to 400,000 [3.T.U, input _ <br /> Ccnversion units over 400,000 B.T.U. input ___ _ _ <br /> Small appliances__—_..w�______ <br /> ._--_�_. .--_,_____.%J. ._'__'__ <br /> Call L'acic lnspection _.._-,__ Fee Paid 5_'���.���__ <br /> '_ —, " _ Applicant <br /> �, <br /> uy.. ----------- _... <br /> i --------..�------- <br /> I'1��ns approJ=d and Permit granted as. requested herein. <br /> --� /� k <br /> ( /r'�2"�' -�'-1------.. Inspector <br /> . � <br /> �y, ��-- `--t --- <br /> PER�91T :���:`,' � :�:,�1 <br />