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CITY OF EVERETT <br />Application and Gas Installation Permit <br />P•�' Work, to be Done in Accordance with <br />City Ordinance A <br />� �V.y✓ l._� �,� <br />/ � � �� <br />EvereM; Washinyton........:.t.(..�.�..(.. <br />........,. 19.� �i.. <br />�o«r��,..._...l.y � 5 _ � , <br />......._......: .Y....:�._�<� <br />� <br />Own2r �,'�{f�' ��1�a���j�"..f-- <br />' <br />ApplicaN ...' ' `� C, i . �.; <br />� ��.�.... ...:.. �:. :.��:.� <br />Rough piping inspection _�_._ <br />Pipe in excebs of 60' ._ <br />G�s Stoves <br />Gas refrigerators ______ Gas water heaters,__._._ <br />Gas space heatcrs to 70,000 B.T.U. input _ _ <br />Gas spacr. heaters over 70,000 B.T.U. input ��__ <br />Gas furnaces tc 400,000 D.T.U. input _ __ <br />Gas fumaces over 400,000 B.T.U, input _ __ <br />Conversion units to 400,OU0 B.T.U. input ____ <br />Conversion units over 400,000 B.T.U. input ____ <br />Sinall appliances_.__._�_,_____ <br />.—._ . • -- . --------------�rr.r--- <br />Call Back�lns ection ._ / � <br />P --- - Fee Paid �S. :S�- -^�_ <br />� r <br />� t <br />'_,;' ;_____ - — � —�------ -- --- --'4RRlicant <br />By.. ;______�!<<c,�-=%-�— �<5 ,� � .-- __ <br />=;,:-_ <br />f'lans approved and PerrrKt..granted as;requesfed qieFein. <br />�` �' <br />._ _ _ -- _'�-C.��/r�1i,,,(1 ..��..: _Inspecloi <br />�_ ___ __ ___ — <br />BY � ,,_ '��. <br />PERMIT :���'�� �� <br />