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CITY OF EVERETT <br /> - Application and Gas Insfallation Permit <br /> All Work to be Done in Acmrdance �itiith"�"" <br /> - City Ordinance .-- <br /> ; iI ! <br /> � � . . <br /> :. ._ �- <br /> Eve�e1P,- Was'�hi g�on...: ..��� _ . .. �:�::.:...:,`19:��.. <br /> _ ' , " ::• <br /> Location......`.,...r.��.,!1.a.0,,. ,� <br /> _ _ ._. .. _ . .da.f..6.a...--�. .................... <br /> _ t�_ . _. ... . ..... ..... <br /> Owner........;��....5.....�t,1.?-Jt........ ................. <br /> ... -a <br /> r .i� ;i . , -. . ... <br /> Applitant;:'.��-��1� �� ��f C : �. <br /> ---•-•�'.4!_...i'1..4�:...�.:.......... <br /> Rough piping inspection � _ <br /> P.ipe in ei2ces5 of�60!�',�_- Gas Stoves ___ <br /> ` -- <br /> Gas.tefrigerators ____ ,�S water-heaters _ _ . ,_ <br /> Gas space heaters to 70,000 B.T.U. input ___�____ <br /> Gas space heaters over 70,000 B.T.U. input <br /> �; - <br /> Gas fumaces to 400,000 B.T.U. input _ <br /> Gas fumaces over 40�O�OpO..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 /> —_ '----- <br /> -------=-------- ' --- r-:-� <br /> Call Back lnspection — ___ _ Fee Paid �"n <br /> $' ,--r+-:,: <br /> � _� -- - - -- - — _' qPFlicant <br /> BY<� rt��-�7._ _ _ _ _ _-- --- <br /> ..-;-o.__. <br /> PlahsapproJed and Pem�i�granied as requested Fierein. <br /> Y � Ci_ <br /> - ---1==�1.'�,''t iU-- - Inspector <br /> BY lII_ �)�l �,, ,.�. <br /> PERMIT �1� �� �� �; 1 <br />