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CITY OF EVERETT <br /> Application and Gas Instaliation Permit <br /> All Work to be Done in Accordance Iwi�h ' � <br /> - - City_Drdinance..- _ . __. . <br /> Evereft, W�hington.........,. .���. ...�.�...., l A?.7. <br /> Location.......:l...RS.../........ '�.......'.�4.: ... ..��.. <br /> Owner ..L! ,�J' ��� ... <br /> `� �� �`� �...:. . <br /> APPlic�nt;.... �... ........... ........ . .....---....:............. <br /> Rough piping inspection �__ . <br /> Pipe in excess of 60' —___ Gas Stoves ___ <br /> Gas.refrigerators __ �Gas.waterheaters ___.___ <br /> � <br /> Gas space heaters to 70,000 B.T.U. input _ <br /> i : PA� � .�, . __ <br /> Gas space heaters over 70 000 B T.U. input � <br /> \t- � .._. ... . . .. - � . � <br /> 6as fuinaceS to 400,000 B T-.1�. input _ <br /> Gas furnaces over 400 p0 6 T�. in ut — <br /> n:r�Ti,�i v�� P <br /> Cenversion units to 400,000 B.T.U. input <br /> Conversion units over 400,000 B.T.U. input _ <br /> Small,,�ppliances— _ <br /> �. � , , <br /> --�-,.; . — �,�. , <br /> ;>{ <br /> Call Back,lnsppction ..._ _ .Fee Paid $� <br /> . ___Applicant <br /> RY-,� ,—� e�t< c� $'° 3 6�___.�.�____ <br /> PlanS app�oved and Perrriit granted as Fequested herein. <br /> � <br /> _ —_ _ _ �� ��t,.l �_--_Inspector <br /> B1' - - --�����— —. <br /> PERMIT N" 4�98 <br />