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CITY OF EVERETT <br /> Applieation and Gas Installation Permit <br /> All W�rk to be Done in Accordance Iwi{N'c <br /> __ City Ordi�ance _ <br /> EvereTt, Washington....,(,.�"L /•-� <br /> ��--�-......., ��../ <br /> Location....%l.�.o�./....`�:.� <br /> . _, . ._.. �-T-+�!................... <br /> � . � _ <br /> Owner..........:,��n.. � r� <br /> -•.............:.�.�.. ti-Ga...��� _.. <br /> •-.......... . <br /> vG:.Jili.. " ..........'..' ' <br /> Applicant......t'� . , • .. <br /> . _ , ...� <br /> , <br /> . <br /> ........................................ <br /> Rough pipin9 inspection ___ <br /> P�pe un excess of 60' __ <br /> -- Gas Stoves- <br /> Gas,refrigerators __ <br /> � �Gas water heaters._� <br /> Gas space heaters to 70,000 B.T.U. input <br /> . ; �, __ _ , ;•. � —.--- <br /> Cas space hea;ers over 70,000 B,T. �� <br /> _ U. input _ <br /> . . . - p �r -. .r: ............. ... ..— <br /> Gas furnaces to 400,000 g 7�;, <br /> . �� i�put � <br /> .U. <br /> Gas fumaces over 4 p�00p� P � _ <br /> d.trT � in u <br /> Co n v e r sion units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 B.T.U, input <br /> Small,,�pliances___ <br /> .__`*;-T--_ `. . <br /> Cali�Back!Ins�ection .._ ����,����' <br /> — ee Paid 3 / _ <br /> __—i�-----r <br /> C <br /> pplicant <br /> s�r-�?- --- <br /> ---____T-- <br /> r���S�aPd�o�ed and e�mif ranfed as re <br /> ,� 9 quested h'eFein: <br /> �/ — �' " ' __Inspeclor <br /> _ -- -_� � --- <br /> PERMIi h'�> �q,�� <br />