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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in Accordancel��}h^ ' <br /> City Ordinance -- <br /> Everett; Washingron:.:.t�...... .. . . �.�:.........,-19.A.�1.. <br /> p� V/�� ./�.: <br /> Location...----..el..�.�'...�-...5. .T..'."'T.'.:�,a..1...................�--� <br /> ;.._. Y . _.�_ .. .._...... __. <br /> � I _ ._ .� ... <br /> Owner:.....L....:.<.�r??'P ` <br /> , <br /> ..... . ... .. .. •--••---�-----...... <br /> APP <br /> licant'....---..;.y.1..��....C.0 ' . <br /> Rough piping inspection —L� _ <br /> Pipe-in excess of 60' _' Ga5 Stoves _:—_ <br /> Gas;.refrigerators __- Gas water.-heaters....Z�___ <br /> Gas space heaters to 70,000 B.T.U. input _�_ <br /> i?i�\ . .. . _ . . �_ . .... . . . .. <br /> Gas space heaters over 70,000 B.T.U, input __ <br /> �, , ._ .. <br /> ___ <br /> Gas furnaces to 400,000 B.T.U. input <br /> Gas fumaces over 4QD,D�O..,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 /> S�aall, appliances� �, <br /> �: <br /> -! ,, .. ...: ��— ,�;_ <br /> Call Back(Inspection __�.Fee Paid $_���._ <br /> '��-Y7—� — ---- —_ � -- Applicant <br /> By,.�J.7/�9,�-c�;r.tdh�sc�—`-- —�. _.. _._. <br /> u-�— '`�- --=—tS <br /> Pla�is�pproved and Permit granted as requested :Heiein: <br /> � . <br /> ---- ` 2----Inspector <br /> By-- — - --- ------ <br /> PERMIT Id° 3�nn <br />