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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance:w(th � <br /> City-Ordinance <br /> Evereth Washington..:....?i..•�,`,1.:?...,1.................. 19s:.�... <br /> , %� . <br /> Lotation...........lC:c?..�...�:Lr.r.r-............................... <br /> _ _ _ ;� _ .. . . <br /> Ownec..............�C�6c.sras.[...��Z.c.:�i:4-S.................... <br /> .� _ . --� .. . <br /> /�pplicant...:......r�:�:C?r.':??�'...`.�!��:..� '.�7.�.......... <br /> Rough piping inspection __ <br /> Pipe in excess of 60' _ Gas 5toves _�_ <br /> Gas refrigerators _ _ .Gas water heaters <br /> Gas _space heaters To 70,000 B.T.U. input <br /> � ,. _ <br /> Gas space heaters over 70,000 R.T.U. input <br /> , � . ; _ <br /> Gas fumaces to 400,000 B.T.U. input _ _ <br /> Gas furnaces over 4,00 OOO�B�T.U; input <br /> Conversion units to 400,000 B.T.U. input __ <br /> Conversion units over 400,000 B.T.U. input <br /> Small-appliances.� _��_ <br /> Call Back,'Inspection _______ Fee.Faid $ ���___ <br /> � <br /> r..-; �—.Applicant <br /> � _ <br /> �y4 �-r_-fi;�:��y ��j �`: --- - <br /> Plans'approved and Pe�mit:grented as requested lRerein. <br /> �L/��� i <br /> --- - -�°"" ��� .rC�-t� , _Inspector <br /> - —7_'-��-�--- <br /> BY- ---�-�`—-- <br /> PERMIT �r" :,�'. �, <br />