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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with ' <br />Ci(y Ordinance. <br />`` • ' ; •. ,\- �C �.�.` �/ 19..6.l. <br />[verett,. Washington. . . .... ... � .................. <br />� �. �� � � <br />Lot�etioh�� `_ ' <br />� <br />... . ... .......... ........ <br />;...... ..... .. .. ... .... ......... . <br />� !�^= �i-./ ................... <br />OwneA�... � --.-.- "" <br />�!.1........ <br />.- , �. .�� „�::.,� .............:. ...:................... . <br />Applicant'..!' �.- <br />Rough p�ping inspectio�i _ -- - � <br />pi�e in excess:af 50' __---- ��as Stoves __--- <br />Gas refrigerators __---..---- .Gas water heaters�/..__.-� <br />Gas space heaters to 70,000 B.T.Il. input _ 11--- <br />Gas space heaters over 70,000 B.T.U. input __ _-- <br />Gas furnaces to 400,000 D.T.U. input --- <br />Gas fumaces over 400,000 B.T.U. input _--- <br />Conversion units to 400,000 13.T.U. input <br />Cornersion units ovzr 400,000 B.T.U. input <br />Smail appliances-_----------------------- � � � <br />-- --------- —�---�-r; � .-., <br />Call Back'Inspection _. �--�--- Fee Paid $__l, o•`�; ,-- <br />�' / 7'.i �_�_�____.ApplicanY <br />.__ ' - <br />, _, <br />--_._--- - <br />. -- - <br />Y- •- '-"`- - _- --- -- <br />Plaris apjiroved and Permit granted as requested hereii�. <br />� <br />- -----'-';1 _ _� ___ ; _ - _Inspector <br />�Y _ _ — - <br />PERMIT N`. �`�`l3 <br />