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CITY OF EVERETT <br />hpplication and Gas Instaliation Permit <br />All Work to be Done in Accordance'wlth <br />. . City Ordinance � � <br />, .� <br />ret n '�// �� <br />t, Washington ..... ........ ..?:1:..�}:'............., 14�.:.... <br />r;, . <br />Locahon....h�J.. Q.1.�-....'�. ".-".'.....`�:.! ................._. <br />,� .- _ . <br />(f/ 1 / r� � �/ <br />A �.' �� i f....4.1.:1.� ....../ ..V:.e^'h:..K.:l.i1/.%�../ ................... <br />-"1.� .O.7 'C..�_ . _. . . <br />wne . ..:,�� - .. <br />PP cant(.:.'..,.I�..�.y��l....:�+� ::..:............:...t.:.................. <br />Rough piping inspection <br />Pipe in excess of 60' _,�:-__. Gas Stoves _ - <br />Gas refrige,rators _—___- iG�s water heatersl�-- <br />Gas space heaters to 70,000 B.T.U. input _ -- <br />Cas space heaters over 70,000 B.T.U. input — _ <br />Gas furnaces to 400,000 D.7:U. input .-.-__ .- <br />Gas fumaces over 400,000 B,T.U. 'nput <br />Conversion units to 400,000 B.T.U. input - <br />Conversion units ovci 400,000 6 T.U. input _— _ <br />Small appliances-_- -_ ------ -- <br />- – ----'–•.---r.-- �. - <br />Call �edc;lnspection _.----- Fee Paid $- / _.-r-- <br />I , -----------!4PPlicant <br />� r-,���� � � - <br />�v;!�-�:- J �-� -- -- .--- <br />Plans approved and Permit �granted as reques±ed Fereifi. <br />� � � <br />- -- --. [z � ' �. F�i;?�'�'L' '' � --. Inspector <br />�1,_ _ <br />L'p ! �' � - --� - - - __ . <br />PERMIT �'e �lf;'7t) <br />