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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done i� Accordance �Llith"•01 <br />- City Ordi;iance - <br />� f <br />EvereM; W � � �r'� i � i � <br />� asFingron::::.::.:5:_ --.... �... 2...��'..:..., 19:� <br />�, q: �y��'.'� �.�.. <br />Location...... �..9.cC..7....1..1.1...... ....tY..�4C . .. ... ........ <br />_ .. ._ . ....__ .�. _ <br />Owner.. _...�./.!..`. �`-.w�'--OS..�.t..r..----�--• ........................... <br />, ... ._ ..._... " <br />: <br />pr�u,����<r, � � -.... , . , . -. <br />1 __ <br />f�pplicanf.`. ;:� . <br />�--;.cJ' :z . ..�:. .. ...........--...._..... <br />Rough piping inspection -1L— <br />21�ie in excess:of 60i:�__i-- Gas Stoves ----- <br />Gai.refrigerators _— i�as water heaters._.-___. <br />� „1�,'. P,A\ B.T.U. inp.it - �--- <br />G@ s ace_ hea+ers to 70,000 „,, <br />Gas space heaters over 70,000 B.T.U. input ___ <br />: � - . _ <br />Gas furnacEs to 400,000 BJ.U. input _-- _-- <br />Gas furnaces over 4Q0�000-tB�T�U, input — <br />Conversion units to 400,000 B.T.U. input __ <br />Conversion units over 400,000 B.T.U. input _ <br />SmaII.aPPliances--__-- -- --- ----�--�--�- <br />----' � �-- --- -�i-'r" <br />Call Backilnspection _--_— Fee Paid $ � �'`,"��, <br />. �i <br />-_ - ---_— . ---. _Applicant <br />B .M � r7�.. , , . .- . . <br />` -- <br />,, , - - - --- -- , , <br />, .- ---- --- � <br />Pfana approved and Permi\'9ranted a`s, requested fierei�. <br />- -- � i�1i.r�,�J:�( �KU ---- -Inspector <br />� � <br />QY _ __ /�" ��L' • - -- - <br />PERMIT INQ ���'.1�� <br />