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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to bc Donc in Accordancc wi4h - <br />City Ordinance <br />Loc lion� /ashir�ton�_.�-�^.......��.......,. 19LZ�'. <br />e� C .. V .....�.. -la./L.. .. ,_ ���''......._. <br />�� <br />Owner__.._� �,�q�r'_ ___.._ ......_.... <br />_ .__ __.. <br />�F�P.licanr _..'{f..:_...:.'_ . . r._ "„ <br />_ _ . __. . _ <br />Rough�piping inspeeticn � .' \ <br />Fipe in extess of, 60' . . . Gas Stoves / <br />Gas refriyeralors _.___.__ ,Gas water heaters _.�. <br />Gas spacc hcaters to 70,000 O.T.U. input ,[� � <br />Cas spacc hcaters ove� 70,000 B.T.U. input <br />Gas furnaces to 400,000 B.T.U. input __ <br />Gas fumaces over 400,OOQ B.T.y. input -_. <br />Conversion units to 400,000 B.T,U. input ._ <br />Conversion units over 400,000 6.T.U. input ._ _ <br />�mall appliances.__.____________.._ <br />� ---_.. <br />Call Back.lnspe tio��� . Fee Paid 'y � <br />.....,-------�—� ���-----------------APPlicarit <br />�y . �; -:,- --�'��.. '�17�--- -- --- <br />i'�,rs approved and P,ermit granted as reyuested hcrcin. <br />(,�,��!� ,�+�y�, <br />:.qjFvz- ^'�e��.. �_ _ _ _ _�nspeC!or <br />/ <br />PERMIT . ' �' . <br />