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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance�lZi4K'` ` <br /> - � _ _ - Gty Ordmance <br /> � �, - .. , , ,\ � ` ` �, . . <br /> , l . b <br /> Everelt-Washington �:.. � �......, i4�.... <br /> � �....:-- / <br /> , <br /> .c�. . /...�' �a-.--�.,J <br /> Location..-�----• - ... r.:.................. <br /> .. . ...--- -.. <br /> _ _ .. _ _ y� <br /> Owner............. ..���:.:s�.f�......�(7:Z..................... <br /> w�y<z _�\. ...�_. _ _ . <br /> , . � �i�:;:�:.�..:. . , <br /> /lpplicant...:.:...:..:...a .... `..-�-=�---..;............... <br /> �.\ - - <br /> Rough piping inspection _ 1L— <br /> Pipe in ezcess•of`60'. ; :. Gas Stoves —— <br /> Gas,refrige�ators ' �G�s water-heaters.�v______ <br /> Gas space heaters to 70,000 B;T.U. input �__ <br /> i � :. . ;/�, . _ . _ �:; �. <br /> Gas space heaters over 70,000 B.T,U. input — <br /> ,� _ � _ _ <br /> GasVfu�nace� to 400,000 B.7.U. input — <br /> ♦ <br /> Gas fumaces over 4�Q(�,�OiO..�Bj-(.�l�t input _ <br /> Comersion ur.:ts to 400,000 B.T.U. input __ <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances .�_ <br /> --� . .-�>'-? --- -- . <br /> __�___,,____�� <br /> Call Back'InsRection . �___ Fee Paid 5�--�,...,�- <br /> _..ApRliwnt <br /> *-•..,�--- - � � �,,.- �_ i� <br /> gY., ,1 ' _.t� � �/��/� �--`-tr�---- <br /> Plans'ap�roved and Peim1'�g�iant�d as.re§uested Ili��'eiA: <br /> °-�, � `, � • . <br /> ---- -- �'' _/ (��, ��y.�i r. Inspector <br /> / _�=-�. S_-- <br /> 8��-- - -------f�l.sL'��------ <br /> PERMIT T��' -! � �"''� <br />