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e <br />CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to be Done in Accordance with <br />Cify Ordinance <br />Evr.ett, Washington�'..'.�.�...'.E•!:1----�"F..-•-•--....� 19��" <br />` � J-"-"t�` . ................ <br />Location..�s J� ................. _ <br />,_., ,.(T . p�'i."'...........- � : <br />� � :� . `. I,l.. ,'._ ' . <br />Ownf �....71:J11'l�^^^:^�C�....:•?iS!�.��u`.�..-... _....... <br />F. . .. <br />•_ _ _l�,�, <br />�. . <br />� _._.__........_....._ <br />n pp I i ca nt....:.... =!a'.f�'4"2.{ ��--.:-... .. .. <br />Rough piping inspection —_�`.- - � <br />Pipe in excess of;60' _--= =:, Gas Stoves _ -- <br />Gas refrigeretors __— - Gas water heaters _�-- -- <br />Gas space heaters l0 70 �00 B.T.U. �nput -_— -- <br />Gas space heaters over 70,000 B.T.U. input __ <br />Gas fumaces to 400,000 B.T.U. input _—__ -- <br />Gas furnaces over 400,000 B.T.U. input �—_ -- <br />Cenversion units to 400,000 B.T.U. input -- - <br />Conversion units ovar 400,000 B.T.U. input - <br />Small apoliances.____.__--------- ,`t �, ,,' <br />«--------/ t — <br />Call Backilr,s ection____----. Eee Paid $�"�--,---- <br />-.-7'__L__��CKI.c.e� `--�'�a" �4pplicant <br />� � � <br />, <br />--/' . � ----- <br />Cy.. � __-�-�----- ---'-- <br />'-------- <br />Plai�s appiovc�Pe�mit grented as.requested herein. <br />� <br />-, -- . , �-�i� . �1-- -Inspeetor <br />VY <br />PERMIT °:" � i';�i <br />