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4 <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work.to be Done in Accordancel�4ifh��"`' <br /> ;� z-,,_� � ,� C�ity Ordinance___ <br /> , <br /> : o- <br /> Everett; Was6fngtoh--:- - .�,r .:.�i...��...'.:�..), 1.9.�� <br /> --.. . <br /> .1.., � . . - <br /> ,; _., . �{ <br /> Lowticn.....---.f .� J' f r . <br /> ..�-��:-:.-;.... .,........ ..... ..:.:.::...:�'..1..... <br /> _ <br /> Owner .Qr� i.� <br /> �4�A-4�J.�- . -•---� <br /> i��.i � i � - y� .�__ <br /> pplicanY ..�.� �....�. . �{l...�:, � ' :.:. `� � ,,... <br /> Rough piping inspection _ <br /> pipe in excess�of 60� " �-- __ Gas Stoves _�7� <br /> �Gas., refrigeretors � ____ Gas water.heaters <br /> ,u,= �� . B.T.U. input �x_._ <br /> Gas space heatars to 70,000 � C <br /> Gas space heaters over 70,000 B.T.U. input <br /> , �.L ; „ . _ . '�.- n _ . .... _ .. _ <br /> Gas f�mac�s to 400,000 B.T.U. inpui _ <br /> Gas furnaces over 40;O,p00.,BtT�U. input <br /> Conversion units to 400,000 B.T,U. input <br /> Conversion units over 400,000 6.T.U. input <br /> Small,_appliances <br /> � � � <br /> - _ , , . ` , '. —• �;,_.-- <br /> Call Back'In;pection __�. _ Fee Paid 5�;�_ <br /> .�i-� _..______ __.`_..Ap�licant <br /> _. _____�_. �� <br /> BYr,-L-�'�''``�' *�tL! 2 � __�`�;- <br /> , <br /> Plans�app�ooed and Permit g�anted as mquested lkerein. <br /> — — --___��j �� " <br /> _w__ _Inspector <br /> BY__--- -- -l1- �/+�'-- <br /> PERMIT �?� � " �-�� <br />