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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance wi�h <br />, � City Ordinance <br />Ev / ` <br />� r.e.7'- � �r' ..:.......... .9.�;.J.: <br />�---.... . <br />erett; Washington ...:...... .:.. ;. r �, <br />- ' l-�:..'L. <br />� , , ���---••--• . ..............._.... <br />Location......�..:'�--.. ' �`� <br />... . <br />„ <br />.a c�_ L,,..._. �:1,0 ,-^ ::.::"..'.-_.. <br />i <br />................. - - <br />Owne r... -- .. ..................................... <br />. f ;_,, � ry� ,;,,;_ . <br />........................ <br />Applicant..:.._..:.�'--......� ....................... _. <br />Rough piping inspection -_� - - <br />Pipe in ezcess of 60' __ _ Gas Stoves _-- -- <br />Gas refrigerators __-- -- Gas water heaters. : _- <br />Gas space heaters to 70,000 B.T,U. input _-�= -- <br />Gas space heaters over 70,000 B.T.U. input -- <br />Gas {umaces to 400,000 B.T.U. input <br />Gas fumaces over 400,000 B.T.U. input --- - <br />Conversion units ro 400,000 B.T.U. input — <br />Conversion units over 400,000 B.T.U. input _ <br />Small appliances -_- - ---- " <br />- -- - --�" - <br />-.- ------ ' [1 c�'L� <br />Call Badc:lnspection _ _— - Fee Paid $--[,-.,c:--•;- <br />� , <br />_,...i _ — -: - <br />- <br />-__- -- -- ARPlicant <br />j�.l`,_ _ c ��. � ! / :'- � �_ � . <br />- - <br />By.. ,------ ---- <br />" .0 <br />P!ai��s ap�iroved and Perm�t granted as requesied�h'erein. <br />-- c�_�4C`,."i:_`�-y%''t-��_'':,. _ _. _Inspector <br />i � <br />Il., !1,' i <br />-- <br />�Y' - - — _ _ <br />PERMIT '';'4 " �' '� <br />