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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with'4 <br />City Ordinance- r_;- - <br />Everett; <br />............. <br />Location.................. <br />Owner........ /..... .CY.. ....... ......................................... <br />Rough piping inspection <br />\ <br />elpe''-in eKces§* f 60 r'T-if"! Gas Stoves " "�[ <br />�,ptirefrigerators - <br />Gas water. heaters.-- <br />Gasbspace_heaters to,70,000 B.T.U. input <br />_LAr <br />Gas space heaters over 70,000 B.T.U. input <br />C;as furnacWs_ to 400,000 B.T.U. input <br />Gas furnaces over 4pep2r4•,ATOY1 input <br />Conversion units to 400,000 B.T.U. input — <br />Conversion units over 400,000 B.T.U. input <br />SrnAllcappliance oc <br />r <br />lc' <br />Call BackjInpection- ..._....-.-•-....Fee-Paid-$ 1 <br />_ A90cant <br />PIjk99ci5Wioved andTenm2Ijtaiitd� as requested ffildi*-. <br />ECOUD Inspector <br />PERMIT N? P 1 q <br />