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�i <br />CIYY OF EVERETT <br />Application and Gas Installation Permit <br />All Work fo be Done in Accordance with <br />City Ordinance <br />9 � . �.:' � ' � ,__. <br />�verett, �NasFiin ton..._.... �.�:.._ .....��....., 19.:::�. <br />• �- <br />� :. <br />Location............ �.."�.°Z.�...�o�.---�.�-.:� .... ........... <br />,� __ ._ , _ <br />� r ..�..... <br />Own e r.. _..... _.....c.. . ..... .'?ra�-ti....... -.. ...... <br />� � � <br />Applicant........... �!t.-�--._.........'...:..._.........._..... <br />Rough ;.iping inspection ��___ _ <br />Pipe ir. c<cess of 60' —_- __ - Gas Stoves __- _—_ <br />Gas refrigerators Gas water heaters __._ <br />Gas �pace hea�ers to 70,000 B.T.U. input _-� <br />Gas space hea4ers over 70,000 B.T.U. input <br />Gas furnaces to 400,000 B.T.U. input —_ __ <br />Gas furnaces over 400,000 B.T.U. input <br />Conversion units to 400,000 E3.T.U. input --_ __ _ <br />Conversion units over 400,000 B.T.U. input __— _- <br />Small appliances__._ _--_--------- c <br />--- --- - __"—��_.___ <br />,�/ rc <br />Call Radc'Inspection ______�. Fee Paid $_L__-_ .. <br />— _.___ --- "----------_Applicar,; <br />�� lc�.�_+`�' --�/�-�� �`------- - <br />By., _...-- -- <br />Plans approved and Pe�mit granted as-requested hercin. <br />�,� ��=y - <br />_. � ��%��_': . . _ Jnspector <br />6y. ---- -1`-_ %r-._ . - -------- - <br />PERiNIT <br />