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CITY OF EVERETT <br />Applicatioa and Gas Installation Permit <br />All Wcrk to be Done in Accordance �with -' <br />, City Ordinance - <br />,.,,.,�:, -}'. . .. <br />1�,. 11. /% <br />, g n.... . ...;. , I', � � 19"!.1.. <br />� yJ ..... �. ... <br />Location.NihCin � ( �' ...-!f�}:.^.`.:�:�---�-� <br />� G�. <br />_.. <br />, _ <br />Owner .. . t,1�� �.� %St.":v..C. �e.y� .... <br />� �:�.��. - . -: � .:... <br />UJ�tt; i , <br />AppficSntr: -. , ,r --- <br />x � <br />Rough piping inspection _1�- <br />Pipe�in e:cce�� �f. �0' - .-1� �s Stoves <br />Gas,.reff���rafoh _; -'- �Gas water. heaters _ - — <br />Gas space heaters�to 70,000 B.T.U. input i — <br />_ �N :ic �_ _ i <br />Gas space heaters!over 70,000 B.T.U. input <br />_..._ ! ,.,.�_ ,..._... . <br />1Iy �... _ ,-� _ . <br />Ges f�}maces to 400,OOQ B.T.U: input <br />Gas fumaces over 400,,OQ0_,��T.v .. input <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input ___ _ <br />Srqall appliances._S��- _r ,..._ -��-¢—r- �, <br />F r )�n�� <br />i, .. �--- � <br />Call ck�lnspection .___—__--- Fc� Paids?4s� <br />; � <br />� � _.�pplicant <br />q� -------------------------- <br />YY�' --r - . J <br />i ��f ' <br />PIaH9'ipproved a d,Permif'granted 'as �equested he�ein: <br />�j � ' <br />__ (p_ „ '''_;',:L;��— _ -Inspector <br />�Y � y� __---- <br />PERMIT `':' '��F�1 <br />