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CITY PF EVERETT <br />Application and Gas Installation Permit <br />� All Work to be Done in Accurdance with ', <br />. City Ordinance <br />, , . 7- /� � <br />�'Cr�/ :..... ............. 19.S.S.. <br />Everett, Washiny,..n........1:.:..1... �� ..- <br />_ C� <br />s <br />/.' . ��. , = di,.....�,G-�.�, «-.' °--...---•-- <br />� � <br />Locatwn ..:. `.. h� � <br />, . +� . . .'/lin._a�...r.a�.y......... <br />Owner r...�.��::t. r ........ �---....... � <br />Appl icant...........l:S: R!'.:1.f.. _ ............:.. .-.--....................... <br />Rough piping inspection __Li_— <br />pipe �n•excess of 60' ___--- Gas Stoves __�--- <br />Gas refrigPrators _— --- Gas water heaters � X <br />Gas space heaters to 70,000 B.T:U. input __—�.— <br />� <br />Cas space heaters over 70,C00 B.T.U. input -- — <br />Gas furnaces to 400,000 B.T.U. input <br />Gas fumaces over 400,OOO.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 />_ — � . .. . -�.—,--- _'—' L .c ; � <br />Call Back lnspection __ ----- Fee Paid $._II----- <br />_.._._ -- ----- -- - <br />___ _ _ ___ _Apqlicant <br />� / �• !' <br />i fi; i.... Ic_ 'Y.`J- / �. [�'��"/ —+----"_ <br />BY- ; '-- --- -- <br />Plar�s approve�! nnd Permit gra �ted as reqii�sted herein. <br />r <br />y �,._. <br />T fZf� .r�f•< _ _Inspector <br />- . �--- _' <br />%�, la.�_ --- <br />y_ -- <br />— ----- --- <br />-- <br />PERhiIT I`I° �;=�r � <br />