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4 <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> A�� Work to be Done in Accordance iw(�fi ` <br /> _ City Ordinance <br /> e . . , �. � � � - <br /> ^ ,, � ' .. e �� � � ��� <br /> � � . q 7 <br /> EverEtt, Washingtb�h.....�!�'�t,�.�......:..!........,.7�.1..' <br /> ..... .. <br /> Location.....r!ti.�.-'?�°2�---...���:fi::`-t'�...............�•---•�--� <br /> ^ � _,� _�1�,�..F'.0 •_ __ <br /> Owner..........���.e: ........�.�'....--� ..............� <br /> ..!�rr..^..�........ <br /> � / ,J <br /> - _ . .i_"�r'� . ... ..... ........._.. <br /> . . .i�. .-��.� _ <br /> . <br /> . r ti4.- �+1'�'�,'�' -._. <br /> _ �pplicant.�..:... .�..................�---�---.....---�-'__r.................. <br /> . • <br /> Rough piping inspection <br /> Pipe in e�4ess•of 60: � _ Gas 5toves —_ <br /> , <br /> Gas refrigerarors _ �Gas water. heaters. <br /> Gas space heaters to 70,000 B.T.U. input � <br /> ,. � _ _ _ __ --- <br /> Gas space heaters over 70,000 B.T.U, input <br /> _ _ <br /> Gas furnac�5� to 400,000 B.T.U. input <br /> Gas fumaces over 400,000- B,T�U. input <br /> Conversicn units to 400,000 B.T.U. input <br /> Conversion units over 400,000 B.T.U. input _ <br /> Small appliances <br /> � _ � ,_' <br /> --------.--n-r,--- -1.-*cJ-- <br /> on <br /> Call Back'Inspectien _ Fee Paid 8_�.�__ <br /> � <br /> -,,,, /„ _App�icant <br /> QY----, rP2.t-e.y�$�Y � o o� <br /> ,-'i`__�------- ��, - <br /> Plan§ app�oved and Permit grdnted,as reguested herein. <br /> - --� 1 ��-y� � � � <br /> 'G'�!" ✓`+*'�-'_'y Inspector <br /> �Y - -__ _ - --��`�7 <br /> PERMIT N° 4514 <br />