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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to bc Done in Accordance ,witH <br /> "'ity Ordinance <br /> Ever^tt, VJashington....�?�--------�9-!----....., 19`�,-_ <br /> Location..J.�.7i.3...._..:�.'�.'��Q'�. .�.�..t.�:�?......... ....._._......... <br /> Owner......�!�t.........��............................._.. <br /> ApplicBnt..�4r!....:..!�'.`v......�.....l"_Lir......... <br /> Rough piping inspect!on __.,—_ _ <br /> Pipe in excess oF 60' _--__ Gas St�ves _ _ <br /> Gas,refriserators ____.______ Gas waten c�aters__�.__._ <br /> Gas s�ace heaters io 70,000 B.T.U. input ._—L _ _ _ <br /> �as space heaters over 70,000 B.T.U. input _ _ _ <br /> Gas furraces to 400,000 B.T.U. input __ __ <br /> Gas fumaces over 400,000_.B.T.U. input _____ _ _ <br /> Cenver>ion units to 400,000 B.T.U. inpuY ____ <br /> Conversion units ovar 400,000 E3.T.U. input __ __ _ <br /> Small appliances__�_____ . _____ <br /> .—_.-- ,,. ��., --�p-- <br /> �all Bar.k�lnspecTion Fee Paid $_`�.__..__ <br /> � --�,;��_____Applicant <br /> (��� / i.� <br /> py, _,_,__ �"_� (o d �-- ----------- <br /> Plans�3ppiovc and Permit granted as requested herein. <br /> ._.. --���s�a'='�'-zi.-•---..._—'.�.— -- --Insperior <br /> k�v <br /> PERMIT N.' ���"��)� <br />� <br />