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CITY OF EVERETT <br /> A�pplication and Gas Installation Permit <br /> All Work to be Done in Accordance w�th <br /> City Ordinance <br /> ' �� �. ��- / i�. , C 'ti <br /> Ev:rett, Washington.:.:...:.�...::.......:.......... .19..'...._. <br /> � � <br /> Lor.ation.....�.�..'�.�..... ..��... ......................�-•-�---�-- <br /> Owner.... --���--.....`!"��e��---....... ._ <br /> ..................... <br /> P' - �,�:.T1.ta'+� � �.._ ;".%u.r.:.t�. <br /> Aplicant..:.�..........................r.......................................... <br /> Rough piping inspection _._ . - <br /> Pipe in excess 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 70,000 B.T.U. input _- - -- . <br /> Gas fumaces ta 400,000 B.T.U. input _ - <br /> Gas furnaces over 400,000 B.T.U. input --- - - <br /> Conversion units to 40G,000 B.T.U. input <br /> Conccrsion units over 400,000 B.T.U. input —.-__ <br /> O <br /> � n 6Cb.J�. <br /> Small appliances_-.-_�-�' - --�--------_ . <br /> .>�'23_:—._.__.,�,----- --._-_-�-.--�.:-.- <br /> � , . 0� <br /> Call Backllnsqectio.,n ---:.--- Fee Paid.$..-�-_.-.,.---- <br /> � � <br /> ' /CS �...�- C <br /> _ _�ovwtvn. . _._-_-. .APPlicant <br /> .� ----�.�..u.4< '��7,ZJ <br /> -- ---- - - -•---_.. <br /> By„-r,"-- - _ - <br /> Plans approJed an Permit granted as requested 'herein. <br /> }�'.<'���� -_ Inspector <br /> py -- ' <br /> PERMIT :� <br /> - .,�. <br />