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CITY OF EVERETT <br /> ppplication and Gas Instailation Permit <br /> All Work to be Done in Accordance wi4h= <br /> _. City Ordi�ante-`. � <br /> _ ._ <br /> � •.�'. � Y `�. .. � � . � � <br /> � .......... .:.....�........,. �9..... .7. <br /> Evv_rett,.Washington.....;... f <br /> �,.-c/ <br /> it�C+: r • <br /> .::........ . .•"""""'-'. <br /> Location.....�.���--- .. _ <br /> � I rt <br /> , y�i <br /> � : . . . . . <br /> .. ...............��.. s....-......."""......... <br /> Ownec- .....�� � _.. ._.. ._ .. <br /> - � � ��,,, _ � . 4 --.. <br /> � :u;�i�.z... , ............. ...---....... <br /> � ---•. `.. .. :....... <br /> qppl icant..:�.` <br /> V� <br /> Rough pipin9 inspection - <br /> Pipe�in ertes;.of 60' �--- ; <br /> Gas,Stoves -X'-�--- <br /> Gas refriperators __�_— �Gas water heaters �._-.-.-.-- <br /> Gas space heaters to 70,000 B.T.U. input _ _. <br /> , <br /> Cas space heaters over 70,000 B.T.U. input <br /> 8es {umaces to 400,000 B.7.1�• ��Pu� —� ' <br /> Gas fumaces over 4p0i00�tiB1T�U� input _- <br /> Cornersion�.unils to 400,000 B.T•U. input — <br /> Conversion{units over 400,db0�B.T.U. input`—- --- <br /> Sma�l appliances__------- '-'""��- <br /> _— __,.._.�.�_------------_—�.- /�- <br /> Call Back!Inspedion .. .---.----- Fee.Paid$--------s^-��� <br /> � � _____..,_Applicant <br /> ,o <br /> Gy„ ��.d�.�/--"'-�.._._�_._.�_----�--,�� � <br /> ,� i.'""-...._ <br /> PIaNs'approved and Perrrlii,9�anted as requested hr.rein. <br /> - - - � �����'; __-_ Inspector <br /> 4y, � " _ /l(_� _ ---- <br /> PEAMIT ��' `�`��� <br />