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CITY OF EVERETT <br />Application and Gas Instaliation Permit <br />Ail VJork ic be Dene in Accordancc witFi <br />_ Cit <br />Everett, 1^;ashing},�n �Y O d^nance �y � <br />/ 1e�t .�/ <br />.... .............-.............., 19....� <br />l-ocat�on..���� �''y. .. ..i'" Ny <br />. . . ............................ <br />� ..... ......... <br />... <br />O�vner...�l±'??':. R.�y, <br />.. ............. ................ <br />............... <br />..... <br />i. <br />Applic�nt::.S� � �[ . , �, � .. ._.._..... <br />e .4' ' <br />, . ..._. ....�'_' ....................................... <br />Rough piping inspettion _._ <br />Pipe in excess,of 60< <_--_ -_, Gas Stoves ----- <br />Gas refrige ators _.. ___ ___ _ , Gas �rater heaters � __ <br />Gas space heaters to 70,000 g,T.U. input .____ <br />:las space heate-s ever 70,C00 [3.T,�J, i�Pi�t <br />Gas fumaces to 400,000 B.T.U. input __ <br />Cas furnaces over 400,000 D.T.U. inpu} ___ _ <br />Cenv2rsion units to 400,000 B.T.U. input ____ <br />C�nversion units ovcr 400,000 6.T.U. input ___ <br />':mall appliances---_—_------- <br />Call Back inspetlion _ Fee Paid �'� ? <br />5�_.. -.. - <br />_.�� <br />`� i?�-- <br />-APplicant <br />Q�� .. �'_ <br />P���� approved and Pcrmit granted as requested heiein. <br />- - - `-- �._� _ �._=.-_— - In`-P=ctor <br />ur <br />PERMIT .1"' ��38 <br />