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CITY OF EVERETT <br /> Application and Gas Installafion Permit <br /> , , „ , , <br /> All Work to be Done in Accordance witF'�' <br /> _ City Ordinance - <br /> ;• , <br /> Everett Washin tbn.. � <br /> , g � ........ .�.b......, 19 b.7 <br /> ............. ..^. /� <br /> Loc a t i o n..........l..1..�..'.P.........V........!.."".Q..�..... ... ....... <br /> Owner.............!.u�'.c+:-'-...i..! .i:�-i1�!�-c........-----.......... <br /> , _. _ /� _. ._ <br /> APPlicant..... ' .. .. �.�if��...`...'.........'--•'-`---� <br /> \i <br /> Rough piping inspection _1� <br /> Pipe�in excess of. 60'. - -_ Gas Stoves <br /> Gas2 refrigeiarors _—,____ .Gas water.heater3 ____—_ <br /> Gas space heaters to 70,000 B.T.U. input x <br /> Gas spece heaters over 70,000 B.T.U. input <br /> �._ � _ <br /> Ges fumace¢ to 400,000 B.T.U. input <br /> Gas fumaces over 400,000. B.T,U. input _ <br /> Conversion units to 400,000 B.T.U. input <br /> Conversion units ovcr 400,000 B.T.U. input _ <br /> Small,appliances___ <br /> Call Back�lnspection..___ _ Fee.Paid.$� <br /> L: - i �-Applicant <br /> °Y�,� �,_�,- '� S9 3r--;,. - <br /> Pla�is�approved and Permit granted as requested Herein. <br /> — � `�' �"" �/ Inspector <br /> --�—`- �` ---- <br /> �;C rr� � <br /> av-- _ � r'�r — --- <br /> PERMIT N� 4�30 <br />