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CITY OF EVERETT <br />Application and Gas lostallation Permit <br />AIl Work to be Done in Accordanca with <br />City Ordinance <br />Evere /� ,R , <br />tt, Washington :.... ......:: ��---..� �..:...., 19 �'.6.. <br />.,�.�i � c�-�rn.�_tJd !.� ' <br />lxation........ ......_........ . ..-�- ••---�-� ............_.. <br />Owner � �%i� v�'s'°"ti' <br />�- �"-' - '-- <br />-�•''�,ic1V�.�,� ,��..0 ��Li+�,W�c� <br />l�pplicant..------....-•-- -� -�=-- .. ......... ......�----•--............ . <br />� <br />Rough piping inspection —.—._ <br />Pipe in excess of 60' ___ -__ Gas Stoves _--__ . <br />Gas refrigeretors _--_ _. Gas water heate:s �...._- <br />Gas space heafers to 70,000 B.T.U. input _ �__ . <br />Gas space heaters over 70,000 B.T.U. input _ <br />Gas furnaces to 400,000 B.T.U. input <br />Gas fu maces over 400,000 B.T.U,. input <br />Conversion units to 400,000 B.T.U. input --_ __ <br />Conversicn units over 400,000 B.T.U. input <br />Small appliances_ —.�---_._-.�._.-�-�---- .. <br />�- `iz '---�--.._..__���-.--.--.__. <br />bb <br />Call Back'Inspection ._ .__ � _ Fee.Paid 5-� . _.___. <br />+O'�n A Applicant <br />._..-' -- -- --- _. <br />---- _-- <br />_�..�.�-� l7Z�S <br />B- ---- -`-� _ <br />-.'_,�-- - - <br />--- _ -- <br />Plans approved and Permia, granted as requested!herein. <br />._ _--_ -.��1,' I^'F'�`�'�y�;!� _ - -Inspecior <br />QY- - - � --------- � - -- <br />PERMlT A?`' � � � � <br />