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� <br />CITY OF EVERETT <br />A,pplication and Gas Installation Permit <br />AIl Work to be Done in Atcordance'with ' <br />- City Ordinance <br />_ ;� <br />Gverett, Washingron......,-E.�'Ir�r,�^-.:'f.7..../�!,....., 19(^.SP. <br />/f VA � <br />Locat i cn. _....!^, �.. 3.0.......�.C..S:t1::. ..G. Z4-!r.!4:�! ....... _... <br />.,,r!. . ... .. � <br />O�aner..---. �.�5:. ... �.........!l.. S'�r'F!' . .. <br />.... <br />.:. ........... .... ........... <br />A pp I ican t......,_...i..,.. .,�i��"�I...L.:'......!.�.:.?..,.. .. <br />Rough piping inspection — — _ _ <br />Fipe in excess of 60'..,_._-_; Gas Stoves ___._ __ _ <br />Gas refrigeraFors _'_ __ Gas water heaters _..t_l. _._ <br />Gas space heaters to 70,000 B.T.U, input ___ ____ <br />Gas space heaters over 70,000 B.T.U. i�put __ ___ <br />.r,as turnaces to 400,000 B.T.U. input _____ _ <br />Gas furnaces over 400,000 O.T.U, input ____ __ <br />Conversion units to 400,000 D.T.U. input _____ _ <br />Conversion units over 400,000 B.T.U. input __ <br />Small appliances_.---.�._ __�._�_. . -_- <br />`, < . <br />� <br />-----------"�-- -- ----"�_.. ��_.,._. <br />Call Dack;lnspection _ ____ Fee Faid 5.-1 V.,,,_ <br />�, , <br />. _._. _—; - t ----. _ _,.��_���_.__. pp'cant <br />li <br />, <br />�Y�; -:�-- `e u� �_.��_.3.... _._ _..-- <br />;_,__ <br />plans�approved and Perr�it granted as rcques�d 1Fiaiein. <br />�� `' �' <br />-- - - - -- �.Y�''s-'�.;t'it:" Inspector <br />BY� — - - -- �---R'/F..--"J_ _. . . <br />PERMIT �-: �.' ; � . <br />_. <br />� <br />