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CITY OF EVERETT <br />Application an� Gas Installation Pcrmit <br />AIl Work to be Dcne in Accordance with <br />City Ordinance <br />i � J <br />Evereti, Washington..........�,o�;,�.....�1........, 19a;.�.:.- <br />Location.._..._�..f.. �...(.....V. . . ---..�....----�--- <br />i�}-� r; <br />..... <br />O�mer.__.......././�.SA'CA.�...._'...-. --"- ' .............._. <br />__�,. <br />l�pplitant....._..:...:.�. . �..:..�:. �.. . ....... ..__... _ . ... <br />Rcugh piping inspertion _.1�_ —_ <br />Pipe in excess of 60' _— _-_ Gas Stovcs <br />Gas refrigerators _.._______ Gas waten c�atcrs <br />Gas space heaters to 70,000 B.T.U. input __ — <br />Cas space heaters over 70,000 f3.T.U. input ____ <br />Cms fumaces to 400,000 f3.T.U. input .__ __ <br />Gas (urnaces over 400,000 B,T.U. input _— <br />Csnvcrsion units to 400,000 B.T.U. input � <br />C��nversion units ov�r 400,000 B.T.U. input __ <br />Small applian[es� _____� _ <br />A�o <br />Coll Back Inspection ...__.J_ Fee Paid $_�_._-'___ <br />. .._..------ -------- ------APPlicant <br />/� � <br />�'' �Ir c • �- <br />13y. . _.. _ _ �. �`_ --- �---- —r-Y �------ � — - <br />"!;❑s approved and Permit granted as requested herein. <br />c G' '� �1 <br />-- -- - -�z'�� — -Inspector <br />, GS�'_— <br />i <br />G� �� s.�� <br />PERMIT ''•:" ��`'� �, <br />