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CITY OF EVERETT <br />Applic�tion and Gas Installation Permit <br />All Work to be Done in Accordance wi11S' ' <br />City Ordinance <br />E� : .. � <br />verett, Washingtorr........�� ... ... 1 ................ 19. �.�0.'. <br />Location.........d. ..�.v.�..�... �<5�.1:!c!^.:1 ..................... <br />_ . /_ ,. p� <br />Owner............ r.�''�:.`.:�:......�:�:i!:G�.!!:F.-tCL^ .. :............. <br />. <br />Applic . , �J. .,y. `,�1 ,' - ;. a �i;.._: . <br />� n � ant...:.::.f.3..:I...f..l ....:.....:........................................ <br />Rough piping inspection —!� _._ <br />Pipe in excess of ,60'' _- ' _ Gas Stoves _ _ — - <br />l;as refrigerators ----- , Gas water heaters _._� <br />Gas space heaters to 70,000 B;T.U. input —x <br />Gas space heaters over 70,000 B.T.U. input —.— <br />Gas f�ma�s to 400,000 B.T:U. input _— — <br />Gas fumaces over 400,OOO.B.T,.U. input _-- -- <br />Conversion units to 400,000 B,T.U. input -- <br />Conversion units over 400,000 B.T.U. �nput <br />Small app��anws ------- ,- <br />�/ oa <br />Call Ba:kilnspection _.—____._. ree Paid S_ T_. �_—_ <br />-----_��-.�--APPI icant <br />By- -` -v- tJ,�.� �! �/ -Z 3 ___.,_ --- <br />Plans ap}�Foved 5n.'. Pe�mit granted as requested h'e�ein. <br />� �� <br />� � <br />,r �� ��c:.,�,� �'.�'J___ _Inspector <br />QY -------1 � _ `� -- <br />PERMIT ?�T" '"'""� <br />