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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance'�Jith " ` , <br /> t' � , ! City -0rdinance - � , , �` <br /> __ � <br /> Everetr Nas in to r� � ,,n ' b <br /> ,- <br /> . � . , , <br /> „ . � <br /> , . �• i, . � - <br /> , �� 9 �i...:....:%.�;�'"t:.t'%:... ............:. � ........ <br /> Location.........�O O � �'.�._c�-c�-� ... <br /> � �[ r ` <br /> Owner .+� �""`-✓' t�:�''� -1� � <br /> ..---.. <br /> � 4 <br /> �, � . , ., <br /> iqpplicant�.i...... .. .......�t�..� . �... ... ..... . . .. . .... <br /> Rough pipin9 inspection —L�-- <br /> Fipe'in exce�s of\160' -��_--- Gas Stoves -.---- <br /> Gas,�reffiAerators _---- Gas water heaters�X-- <br /> Gas space heaters to i0,000 B.T.U. input _ �� - - <br /> u . - <br /> Gas space heaters over ?0,000 B.T.U. input -- - <br /> Gas furnaces to�.400,000 B+.U. input --- - <br /> Gas furnaces .ver 40fQ,0,0,U�6�T�U. input —_ - <br /> Conversion units to 400,OOQ B.T.U. input _. -- - <br /> Conversion units over 400,000 B.T.U. input -- <br /> Srt�all,appliances__ V_..__�..---.------n,---,.. <br /> �----c.,,=—�---.�__�____�___..__ _ _���. <br /> ,.:i .��.,—.,-- <br /> Call Back�lnspection �_-.�---� Fee.Paid $�. , �_ , ,i <br /> _. �.�.AR�licant <br /> . ,.... _, - --�---- _ __�._ ,/_ � <br /> � -�— � y� �S/ 7 <br /> � r ri <br /> BY-• +--c--��M GG.Is:.�-�-- _ - ---� J c:-�_ <br /> plans'ApproJed and Permit g'ranted a5 reQuestedlh�reiR. <br /> _ __��''°_ ' '��'l� -- - Inspector <br /> --- - �-`-- <br /> �Y _4��-� _ — ------ <br /> - - i.: , <br /> � PERMIT �''Tn "` ^ `, <br />