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CITY OF EVERETT <br />,Applieation and Gas Installation Permit <br />All Work to be Done in AcwrdancelW1�14c�O1 <br />r. . ... . Lity idii�nce- <br />. _ .. .... <br />i, � , <br />�, , �. <br />1 \ . Kt.d <br />,, <br />, <br />EvereRt; Washjngton.: .:,: .:.f 1.9 <br />� :. . .. .... . <br />, c � ,� <br />.,. <br />�' . � �. <br />Loc4hon .... � � �� .......... .-- -,•-- -•--- <br />..1 <br />„�,I'�_',�-.�����.��: � . _ <br />'J, �.u%�`'�_ `�.,� , . __ .. .. <br />Rough piping inspectian �_ <br />�Cas.�-ref,r,i�ratore^�, _ __: r Gas Sroves <br />.(p� in ezcess�of <br />— � ,_Cja.s water.heaters <br />Gas_space heaters to 70,000 B.T.U. input � <br />1��, �M ..... _. .... ._ ,;,u; � _ <br />Gas space heaters over 70,000 B.T.U, input <br />�,h� ,,y. _.. _ _....... , �r�Jr. �, . ..._ _._ __ _ <br />�Sas furnaces4o 400;000 B.T.U. irfput <br />Gas furnaces over 4��Q�.�y�`�l� input <br />Conversion units to 40U,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />�Sm�l�: appliances ____ _ <br />. . <br />lc, t Y . ., _.. ,.�� <br />CaII BacKjln�ecticn --��. Fee.Paid $ ��. ,;, __ <br />t�, � �___ ��. Aqpolicant <br />�Y , �c�-- �\� ""'—I.; "' <br />pla�i"s�ap�iroved�and Permi %g�ented as reques�e'd Ih�rein: <br />--�������� ---Inspector <br />BY----' 1--%•�— — <br />PERMIT I��� 3���Ei <br />