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CITY OF EVERETT <br /> Application snd Gas Installation Permit <br /> All Work to be Done in Accordance witlf'- ' <br /> • Gity Ordinance - - <br /> I ';) ;�; � <br /> , � � �� <br /> . _ �. , _ <br /> EverctF, WasFiington.::::.--41-;a:-�-.*�:-..:2...1-'.1.., lA6S <br /> Location...�..s1..G�..�.T......../...�":..^...�.:�i_.-................... � <br /> _ _ _ . .. ....�. <br /> _ t_ I t/ _ _ <br /> Owner..........:�.':�?......:f.Q-•'_'�I��::='--�-�.................•--�-�---... <br /> .,, ,. . . �.... .. . . i! . <br /> ... .:� � `� ' .__.. , . .. ._ . .. . <br /> � : :� <br /> Applicant...:..i_.:�::r:�::t.ti?�7.X....!:�'..'.-%.�..�-----�................. <br /> Rough piping inspection y`-_ <br /> Pipe'in excess of 60�'__ Gas Stoves _ _ ____- <br /> Gas refrigeretors .-__ ___ ;Gas water-heaters-_._ _ _ <br /> Gas, space.hea(ers to 70,000 B.T.U. input _� _ <br /> _,. _ ...._ <br /> ri,� <br /> s space heaters over 70,000 6.T.U. input . <br /> Ga�, ,_ . . _ , . . <br /> a <br /> s fiimace��to 400,000 B.T.U. input __ <br /> Gas fumaces wer 400r000.�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 /> Sinall_ appliances__-_-___ ____ <br /> — � <br /> 1 <br /> -- -� , = -- <br /> ; , - -----�*'^r,c..- <br /> "' � <br /> Call Backllnspection ___._ Fee Paid 5-�� � <br /> ' `.I J.. .,. ,' <br /> ,_:•,�_ - -` -- ,-. _ -.-Applicant <br /> aY . ..�:..__ �:�.�,-�._. _ <br /> �._ , - — - - --- _ —• -- = <br /> Pfans app�oGed and Per�ryranted as rr_quested heTein: <br /> w- <br /> <-i �� <br /> - -- "_I.�'��=. •_�'�(�'• _.`iL'_—_..Inspector <br /> r <br /> ay _ _ �t_ _ �_% <br /> .�; _ -- - - -- — -- - <br /> PERMIT '�T" .' '��, <br />