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r.' <br />CITY OF EVERETT <br />Applicafion and Gas Insfallation Permit <br />All Work to be Done in Accordance,wifFi��'� <br />� �. _Ciry Ordinance � _. _ <br />,, . <br />/ kc,- /7 <br />�, ., �t4 . <br />Evereft Washingron _....�Y2v`�' °� � , 191 <br />•, <br />, �•,- . er t , � �. <br />. ^ (�-! ti �. > �� , :. ,. _ , <br />Location....t %1. �.......... � .........................••---.....-�--••---•---. <br />�i�} .. p __.__....._. __. _ . <br />y.' I • " ' � "•" f.`.\.,::l:i:.j�'..�.`.'.�. <br />0 ner .................�'�:"�':.. <br />............................ <br />:. o � ,.__ _ __ <br />�P,�,.. .;�•�„/�... ,��, <br />xA� Ucbnt�....... .�w ........:...:........................................ <br />Rough piping inspection _ � __ _ <br />Pipe.in exces�,of ;60',;� _ Gas Stoves _ � — <br />�Y � . zi— �,� . . <br />Gas,refrigeFators _____ ,Gas viater heaters. x <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`fuin:cts to 400,000 B.T.U. input _ <br />Gas fumaces ovcr 400,O4Q..B.TrU, inpuT _ <br />n,r. _t� . , <br />Conversion units to 400,000 B.T.U. input _ <br />Conversion units over 400,000 B.T.U. input <br />Small appliances_____ _ <br />; ,; ,". , � -r,-- --- � . .. <br />Call Dack'Inspenc'tion __ __ Fee Faid 5"_T <br />–• ^` `� � ' Applicant <br />�,. ;�. / ,� <br />�2't, " , /�------- �„ <br />Plaf�s'appro6ed �nd�Perrimit granted as requested h�iein: <br />`,,�1 �' � <br />__ -___-_'�ifi,:.�(��t��li_L.1���__.- .�IlS�C'C}O� <br />['i)'_-_ - _ ._ __._.-- _ _._- ____----'_-_' <br />PERMIT N'.' 4540 <br />