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CITY OF EVERETT <br /> Applicstion and G�s Installotion Permit <br /> All Work to be �one in Accordance'iiitFf� ' <br /> City Ordinance - <br /> i ; 6� � ' � , ' ' " <br /> � l ;A . <br /> , - Q ���A <br /> EveretY, Washingron....�'�.t�l••. �-`�•,--.-�� 19---.� <br /> / R �'-�-` Z- <br /> . <br /> L'ocation.._L ..���'.�..s� '� ��7'/ �'--." ............. <br /> � �_ ..s �, , i ��. _ <br /> O�/vner.......��C�1...._(..l..h.-�i._7.�..;;...:i .:...�-�"'`.`...:±'s.l...... <br /> � -� ...__ r;,,;t� J/,� : _ _. <br /> Xpplicant.....'`_.�.:�......:�`�1..:........:..................... .... <br /> Rough piping inspection J`— / <br /> Pipe in exc�ss of 60' - � -- .,Css.Stoves - <br /> ✓ <br /> Gas,re�rigerators -- �Gas water heaters. <br /> Cas space heaters to 70,000 B.T.U. input —1_ <br /> ;. <br /> Gas space heaters ever 70,000 B.T.U. input --— <br /> tas furnaces to 400,000 B.T.U. input — — <br /> Gas (umaces over 4p0,000_�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 /> Small appliances— <br /> -- - .���.---- <br /> � �� <br /> Call Dack�lnspedion .. .._—._ Fee Paid .�----- <br /> ,Applicant <br /> 1-,-,_�' � , <br /> a� - - - -- - - -------------- <br /> p{g{�5 approved and PerrF�it granted as requested herein. <br /> ��/`�" ���. <br /> . _— _. _�S�" ,i : i�,;_ __Inspector <br /> J <br /> + J:���� <br /> ��/ .. . - ♦.J. -�- F- _ _ -_ -_". _ <br /> ' <br /> PERMIT N:' ���z <br />