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� <br /> CITY OF EVERETT . <br /> . .,Application and Gas Installafion Permit <br /> All Work to be Done in Accordance�wiEh'' ' <br /> City Ordinance <br /> . :. , . <br /> Everen; Washington::....:, ... �.+,.::I.,.n.............. 1S.C,Ia <br /> , <br /> Location......����.........��......................... <br /> �j� .y i <br /> Owner 1.��. . +r� ��........... <br /> .... ... <br /> .... � <br /> ; . <br /> ,�..u. . .. , ., _-J � ; , - _ <br /> Applicanf;�...ti..i��-.... •,. <br /> ._..:.................................. <br /> Rough piping inspection __/�__ _ <br /> Pipe in excessrof 60, _---�---� Stoves - _ - - - <br /> Gast.refrigierator6 _ _- -� , Gas water heaters___--_. <br /> Gas space heaters to 70,000 B�T;U. input __�- — <br /> �nur, ��;N- � � - <br /> Gas space heaters over 70,000 B.T.U. input - - - - <br /> Gas furnaces to:�t00,000 B f�U, input __-- -- <br /> Gas furnaces over 4�Oa0.�BlT��1� inFut _---- -- <br /> Conversion units ro 400,000 B.T.U. input _-- - - <br /> Conversion units over 400,000 B.T.U. input __-- -- <br /> S�nall aPPiiances__».-.-_�__�.___-------- <br /> ---i�"":".;;'-�"_�y.r..._.�._._.��- --•�� . <br /> Call Back�lnsRection _._-----��--Fee.Paid 5-�-�---:,�{- <br /> . _ �__.___�__..---___.Aqplicant <br /> .-•w. � <br /> i <br /> ����l�� ----" -�..�__.__.._._i 3------- <br /> y� <br /> Pla�'s���iproJed and Permik-yranted as rcquested lke,ejn. <br /> - ---- ���- - - _Inspector <br /> il- • <br /> /LS►- — --- - - --- -- <br /> BY- <br /> PERMIT �': :''���'� - <br />