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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance witfi <br />City Ordinance <br />, � / <br />�erett, Washington........:. . . Ar.... 4' ............. 19.�x.%.. <br />� �C..I�C.�'«e ............. <br />Location.......'��.�X---.�.�. �....�.�:�::t�::v. .� . . . <br />O�vner..._....` :��..�:'`-�.�� ...................--................ <br />.- <br />,f� r <br />............ <br />Applicant.--.......,.?4��.'4:tHt:?'.`.:....�...::� �.?�:. .....�' <br />Rougn piping inspection _--.- - � <br />Pipe in excess of 60' __ __ Gas Stoves .___. _- <br />Gas refrigerators -- Gas water heaters.._�._. <br />Gas space heaters to %0,000 B.T.U. input ._— <br />Gas space heaters over 70,000 B.T.U. input — <br />Gas fumaces to 400,000 B.T.U. input _. —_-_ <br />Gas fumaces over 400,000 B�T.U. input __ _— - <br />Conversion units to 400,000 D.T.U. input _— __ <br />Conversion units over 400,000 13.T.U. input ---. <br />Small appliances_ �. _— — -- _- —_•--i--"". <br />.. <br />----- . <br />— — Y --"'- — --- � .�: <br />Call BackJnspection __ �- Fee Paid b--/ •.-n-,- <br />.. __ _ Applicant <br />�,�� i..{`i`'�--.._ <br />By.. _,_._..� _...._ <br />plans approved and Permit granted as rcquested'lierein. <br />-( , <br />_�/,�- ��p�tj;�l��'_fi:_�:ti Jnspector <br />6y - j/ I%-_ _ _ - -- -- _ __ <br />PERMIT ��" `.` `�� <br />