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CITY OF EVERETT <br /> ppplication and Gas Installation Pe►m�t <br /> All Work to be Done in Accordance ',with <br /> Ciry Ordinance <br /> � i.� � ��,� 1 -v1 _ �+ ' Y/ <br /> . / l.a-v �J-. ._; 19.l7Y. <br /> � . �\ <br /> ...; __. ..-- . "'7 <br /> Eve�ett, W�ishingron.'....-----•-- , . <br /> /S o,c �-'� <br /> � _ <br /> ........ . <br /> ....... <br /> Location..............._- _... .. . . .. <br /> ' � t�L'�� q-� <br /> �,�.. ,. _ <br /> .... <br /> Owner... /� <br /> � � f ,.. . .._ <br /> , licbnt..� .���.`..(.t`7 '(:5. <br /> �PP �:..... . _ . <br /> Rough piping inspection _---- - <br /> pipe �in exce;s:of;60'1 r�-.-•—: <br /> Gas Stoves _- -- <br /> ators�—--� Gas water heatersJ- <br /> Gas refr�gg( I: �'� <br /> Gas space heaters to 70,000 B?.� �^Put _.—T-- <br /> Gas space heaters over 70,000 B.T.U. input --- --- <br /> (�`Ss fuinaces to 40U,0�0 B.T.U. �nput '—-- <br /> Gas furnates over 4001�QOi R:T.4.� input _ _ <br /> Ccnversion units to 40G,OOQ 6.T.U. input -- <br /> Conversion units over 400,000 B.T.U. input __---- <br /> Small appliances�— --"-"-"-� '-f <br /> — --_'r_`---- ----`d_+- <br /> � Fee Paid 5-1 i .. ; <br /> ::zll Back Insaection _--_.-- <br /> ----------p`pPlicant <br /> — —` <br /> —r--- i <br /> � � 41 c�'_�_�-'---------;�,-,-- _ <br /> GY-- -- . �----' <br /> I'lans app�cved and Permit-y�anted�as requested hereiR� <br /> � <br /> � �: <br /> � ��.���4i�`- _ - Inspector <br /> �l�/�n - - - <br /> �.� :�222 <br /> PERMIT N�� <br />