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� <br />CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Ac.ordance Iwitn � <br />City Ordinanw, - '� - <br />_ � `,� <br />- . � � r. _ <br />. ,,, / , <br />Everet� Washington....V�.�-c..� .... � f /..... , .lY�.l-. <br />Location...---`�-� Y ...�a.a-C:�L�X--�-'�..�..__.-...W..;�_• <br />Owner ...��11''Y1 .. �� e-[^- t,�'�/ ...... <br />' - � <br />� _ �- �;�:�P���-: ...... <br />Applicanl..�. ..3_,-:..�4- :.�...._... ... <br />�, „ <br />Rough piping inspection —� - <br />Pipe ir excess qf 60' _.__.,_-- Gas Stoves - <br />Gas refrige,raiors __— �---1 , Gas water heaters _-- <br />Gas space hcaters to 70,000 B.T.U. input — -- <br />Gas space heaters over 70,000 B.T.U. input - <br />� _ ..._.. __.._........ <br />6as fumaces,to 400,000 B.T.U. input — <br />Gas fumaces over 400,000_B,T.I'. input _ — <br />:�_.�_..: <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 D.T.U. input - <br />Small appliances----- , , , <br />� � ' <br />r� 7� , <br />_-f � Pc�g=`��u--' '�--`.,�N�' _ <br />Call Backilns ection ..____- Fee.Paid 5--'----- <br />i�pplicant <br />•r; :—i ---'/�-- - ., . . . � � • ��. <br />QYIi.��1--��r-��___—_— ; _ <br />PIaNs=approved and,PerR;it g anted as requested h��ein: <br />----(�_t�+�'T�=Yii_:_ r%,+" Inspector <br />^�_ �--- <br />��.. __ � _ <br />gy L� < — _._ _—_ — <br />PERNIIT ��" °�`d`•� <br />