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CITY OF EVERETT <br /> Application and Gas (nstallation Permi: <br /> AIl Work to be Done in Accordance with <br /> City Ordinance �� <br /> Evcrett, Washington......... ......... .....�.7...., 19�.�. <br /> � <br /> Location..�.....'�..�`�.........�....... ....�.............i..................... <br /> _, �. ' ��� <br /> Owner..... ...:...... ......... .......�.::_................................... <br /> 7�1� �e�, . : � � <br /> Applicant. -- :.._�.. .................. �' ' ' i,,.p� <br /> ----�......................... , <br /> Rough piping inspection _—\_ <br /> Pipe in excess of 60' _____ Gas Stoves _ <br /> Gas mfrigerators _____._ ,Gas watec.heaters. x <br /> Gas space heaters to 70,000 B.T.U. input <br /> Cas space heaters over 70,000 D.T.U. input _—_ <br /> _ <br /> Gas furnaces to 400,000 D.T.U. input <br /> Gas fumaces over 400,000 B,T.U. input <br /> C�nvcrsion unils to 400,000 B.T.U. input x <br /> Cenversion units over 400,000 B.l'.U. input _ _ <br /> Smail appliances—____________ <br /> . - ---. :. ----------P{-(�Cp-r— <br /> Y <br /> Call Back,l�nspecticnj�.___ ._ Fee Paid $_0__ _,_ <br /> ,_._� YI � 'J4� L `'�_�---P`PPlicant <br /> ¢� __ _- -��u,�3� --l y-- ------ - --- <br /> P!ans approved and Pcrmit granted as requested herein. <br /> ia <br /> _ --. -"'�.+w'_��rLr"�T�'1.1.__.._—.___ _Inspector <br /> !sv <br /> PERMl� �'" ;fi�'a <br />