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CITY OF EVERETT <br />Application and Gas Installation Permit <br />.�i Yf 11 I�Vi N31xC � ,Iuvxf. <br />All Work to be Done in Accordance lilft 1-ioL- <br />City..Ardinance_ ,,...._ _......... <br />Everett,. Was! /vrti .gton..-.._......10..... ..... ...........9 <br />Location.../.6..!q.� ..-- .... .................. <br />Owner....... pa G{,w........!R.C�t.ft�a.... <br />Applis n.}t{fiii V��.f•�g,,iU.....�t <br />la ('y1..: .-... �i-t.......):}....................... <br />Rough piping inspection — <br />eipaiin excet-,of 060`-�T_` Gas Stoves -- <br />Gas?fef,rigeirators 6 �9s..water. .heaters <br />Gas space heaters toJ70,000 B.T.U. input., <br />IAb.; RNA .. _.........- I Abr. ......... .................. <br />Gas space heaters over 70,000 B.T.U. input <br />6as furnaces to 400,000 131: input _ _ <br />Gas furnaces over 4pp�p. BiToU, input <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Srrl�lo�ppl iances.—_ <br />lrai e L G <br />Call Back spe n .__ _.___+Fee. Paid <br />z <br />pipLlicant <br />PfBN§ra�Oroved grid (Permit 9ia.. nted "as 'teq'iiested ,'hle � �'�i: <br />i <br />i (' i 11014 1 PCOHn Inspector <br />BY-- 6 <br />PERMIT N:' 4795 <br />