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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance �With ='' ` <br />City Ordinance � � <br />, ` � <br />�, � <br />Eve ' \ <br />' �` � � r ... .., 19,.....�? <br />rett; Washmgton:.:..: ...::• • <br />Lccation...... .. a o.....5.:.!: �� ���'�<4:a6E�4..+....... <br />� �::-�--;�- -� ,: ___ <br />., r__ _ <br />L( �. -��- �. x-►.�:�-..... <br />,:. ; <br />, <br />Owner a--. � :... /' ..... .... <br />y '' ,� . <br />Applica�nf.Y'..'�i...�,�i' -•----•-••-- ��--•-----'-..".s :.............. <br />�,'" �� <br />Rough piping inspettion �- <br />Pipe in excess�ofJ60' --�=-' Gas Stoves" <br />Gas, refrigeratois�— '� ;Ges water. heaters <br />Gas space heaters to 70,000 D.T.U. input _.�—_— <br />i _ � � <br />Gas space heaters over 70,000 B.T.U. input <br />_ __. <br />Ges furnaces to��00,000 B.7 U. input <br />Gas fumaces over 400,000.6`7'.1�, input — <br />Conversion units to 400,000 B.T.U. input - <br />Conversion units over 400,000 B.T.U. input <br />Small app� <br />� ,., �,( � <br />Call Backtlnspection _-Fee Baid $_:L--r�,�-„ <br />I �) <br />�, �...�,____ Applicant <br />.�,--r--- .- i „ <br />BY;. �... ;.- l.~��` _ _—I o -_ <br />�v <br />plans`approJed and Perrr�iti pianted as cequested 1FieTairi. <br />�a � '• <br />__�,��'��..[��Y'b�j'S`';<1�n -- _Inspector <br />4Y — - �. ,, ��------ - — <br />PERMIT P�TQ =�' `� `' <br />