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CITY OF EVERETT <br /> Application and Gas lesfallation Permit <br /> All Work to be Done in Accordance'with ' <br /> , City Ordinance <br /> Everett; Washingron........L-F:"�•�Ji••••••••� ��•*� <br /> Location...........�7..4..� L'�,e��-•. . . <br /> .... .......... . ..... ... <br /> 1�',� ...�......C.-.�rn. .,�....��•.�.—. ....... � <br /> oWn��............... . .e..... <br /> . r���._. _ . . . .. � <br /> ,. , � ,,;.,. . . , .. . � , , <br /> .. . ... .................................... <br /> Appl icant..:....:...\...�.�...p;.... <br /> Rough piping inspection � <br /> Pipe in Rxce�s of.60'' -- Gas Stoves _ <br /> Gas.,refrigerators '.._-- Cas water heaters_____-- <br /> Ga <br /> s space heaters to 70,000 B.T.U( input _�--- <br /> Gas space heaters over 70,000 B.T.U. input <br /> `b- <br /> Cas fumaces to 400,000 B.T.U. input — <br /> Gas furnaws over 400�OpQ,B1T.U, input — <br /> Conversion units to 400,000 B.T.U. input _ <br /> Conversion units over 400,000 B.T.U. input <br /> Small appliances_�— --- - , , - <br /> - ---, ' ------ J,..a <br /> Call Back'Inspection _..----_--- Fee Paid $��— <br /> . . �---�---�_App!icant <br /> .�,...t_.�---,. � ,., <br /> ���F�.S��______.:1 c�--/--T�'�-�- <br /> By'1�".`_--- <br /> PISns ipproved and Perfiit granted as'.request:d.herein. <br /> _ _ _ �E-y�t�"�✓�1 ___._ _Inspectnr <br /> , <br /> av -- - —.�111 �------ - —- <br /> PERMIT �;� ������" <br />