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CITY OF EVERETT <br />Application and Gas Insfallation Permit <br />AIl Work to be Done in Accordance�wiih <br />. � � �City Ordinance <br />�. - � <br />��,, � <br />! t�-c.�..�i� <br />Eva�ett, Washingtor�...L.l.� ................................ .19..�I <br />� y',L � <br />Lot:�tion...•�.�0 �......�,-..._d�..�f ...:......................... <br />. .. . ._.../.((�� j1. ... . . <br />Owrcr.6��--......5..!".1C4- .. .._ . <br />..... �'..:� .................--..... <br />i1pF ican4..:�.�...'.�..�Y�= H,(�•' ......: <br />... ...._........._......_ <br />Rou�h piping inspection _�_ .... <br />Pipe �n exce�s of; 60! __ _ 1 _ , ; Gas Stoves _ _ _ _ <br />Gas refrigcrators _. _._._ _._ Gas waten c�aters. _ <br />Gas space hca�ers to 70,OQO B.T.U. input �_ <br />� is space heaters over 70,000 B,T.U. input __ <br />G:s furnaces to 400,000 B.T U. input ___ __ _ <br />Gas fumaces over 400,ODO.B.T.U. input _ <br />;� � -- <br />Convcrsion units to 400,000 B.T.U, input _—__ _ <br />Conversion units ovcr 400,000 B.T.U. input —__ __ <br />Small, appliances__ <br />- -- --- <br />Call Back,lnspection �.�_ Fee Paid ��p� <br />,n/ 5--�_... _... .. <br />� - `' �� --�ipplican: <br />� <br />__.. <br />��( , . <br />A:Gr, ':� _. ------'-------'--_"—�. <br />Clan�s'approved and Per}nit gra�ited as requested lierein: <br />..__ _ _ _ L'::__"-'-.-- - --�- __. __ Jnspedor <br />�,� <br />PERMIT �;',' ! t-1� <br />