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CITY OF EVERETT <br />'4Pplication and Gas Installation Permit <br />AIl Work to be Done �n Accordance'with <br />` •• Cit <br />„ Y -0rdinance <br />Everet�, � ` <br />Washingfon.:..... ' <br />���.:..�;_ • <br />�% ti.- <br />Location....._.� ..3 ? ::........; 19.11.�.. <br />.a..�....�(4'�.�.:�� ...... .............. <br />ner._.........�i!._� il � . <br />..... t.._ .. <br />W� , .. . �... .... :,-�-i�--�...... <br />�/.................... <br />APPlicanf... � ' 1...%�:`:�.. �. . - i � <br />........... .. <br />. ,-. ............t: � . <br />. , ........... <br />, -....._.__._. <br />Rough pipin9 inspeciion � <br />P�pe in excess of 60' ._ � <br />Gas refrigerators - Ga$ $toves _ _ x <br />- --- Gas water heafers. <br />Gas space heaters to 70,000 B.T.V. input _ <br />Gas space heaters over 70,000 B,T.U. input <br />Gas furnaces to 40p,000 6.7.�, input <br />Gas furnaces over 4pp OOO g,T, — <br />Conversion units to 400,000 g TU. �nPut ____ _ <br />Conversion unifs over 400,000 g-�- 'nput ____ <br />U. input --- - <br />Small appliances_ -- <br />------ �.�`-- ;-,�..._`- <br />Call Back�lnspection..,_,� ---��-�-�---- � 0--tj " <br />' - - --.`_ Fee Paid.$_�. __- <br />BY.... �---'��W_._.__...�._.,-----�---..Applicant <br />, �..,___�_�' � <br />- ��_�/,�._, ..__. <br />Plahs approved and Permit gronred�as ,re <br />.�^ �,, _ quested!herein, <br />i. � <br />- -- -!�_(;;_r�, <br />p `-' �' . -.Inspecior <br />Y. _. " �� - --- - <br />� - - -•�'��--. _'�'-i� . <br />P�RMIT A,�o - -,� � /- �_ <br />