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, <br /> CITY OF EVERETT <br /> Applicatiop and Gas Installation Permit <br /> All Work to be Done in Accordancc witlt ' <br /> ' City Ordinance- <br /> '. ,l <br /> EvereM, Woshington...::..:�.�£.!�-�-::.<.�.�:,�, - 1R7..�� <br /> ...., l <br /> Lecation.. .�.�.�.5........y�.T.tiR.�t»r,»•s,si-+�,,.. <br /> Owner... ....�1-�1�S-4P-.. +Q I... q . ... <br /> R� ..��.Q.a:l.l.�'...... <br /> y� ... <br /> � ir .�. • U " �,�!. ,( � <br /> haplica�t...��.�:ticr4�.�:'.f.:^?.:`.�.;'.J�.......... . _. <br /> Rough piping inspection __ �. _ <br /> Pipe in excess of 60' _ :____ Gas Stoves _ __ _ _ <br /> Ges refrigerators __ __ (;�s.water heaters <br /> Gas,space heaters to 70,000 B.T.U. input ___- __ _ <br /> Gas space heaters over 70,000 B.T.U. input _ <br /> � ' — <br /> Cas fu�naces. to 400,000 B.T.U. input _ __ _ <br /> Gas furnaces over a�0,000 B,T.U, input . _ _ <br /> Conversion uniis to 400,000 B.T.U. input _� _ <br /> Conversion units over 400,000 B.T.U. input —_ _ <br /> Srr�all�appliances__. ___ _ _ _ <br /> ' � �". <br /> --- .-+=— , <br /> �, -- i. - <br /> Call 9ackilnspection Fee Paid $_ 7�` <br /> '�-'f->*'*--- <br /> —..,..----- - .. .. . nPPlicant <br /> Qy . C_,4 .__�,� ., <br /> Plans approv�d and Permit granted as icquesied herei'n,. <br /> r <br /> * � <br /> J . <br /> �.� i�✓�✓V:.��4 �..' r. <br /> _ . _ . ._.. . . <br /> _ _ `•- �'_ - -- Inspector <br /> BY — '(� �%t <br /> PERMIT ' <br />