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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance;witF' ' <br />- - City Ordinance -. <br />Loc tionV�ashr o o y. /� -•' -..-'--:....�:7:......., 19G� <br />� � <br />' � .. - :�.-.,�...'.� �: fi .............. <br />�. _., ..__._ .___�7 _ __ _ . <br />Owner-� ---......!S%C`..n-'Q �N� <br />, • ...................... .......�----........----._.......... <br />.;_�, � _.: . ........ �, / <br />_ , . � _..._ <br />� ,, �/ , <br />Applicant-- �--.:� .... 1�?or.a�..--�--3^'?�a_:.� .......................-- <br />Rough piping inspection _�_._ <br />Pipe in excess of 60' _;—.- _ Gas Stoves ____ -_. <br />Gas;;ref{igeretors .__— Gas water heaters _ _.._ _ <br />Gas_space heaters to 7C,000 B.T.U. input _'� ___._ <br />.. i;i�, . . . .. .. - . . . <br />Gas space heaTers over 70,000 B.T.U. input <br />_ __ _.. <br />Gas fumaces to 400,000 B.T.U. input _—__ __ <br />Gas furnacrs over 400�OOP-.B�TLU. input _.____. _ <br />Conversion uniTs to 400,000 B.T.U. input _. <br />Conversion units over �00,000 B.T.U. input - _ <br />$mall appliances--:--.__.-,_-_____ <br />�. � <br />, <br />Call Back,'Inspedion ___.--_ Fee.Raid �__��,�Q�"'.�_ <br />- ---- - ----- - - __ . Applicant <br />,u <br />gy-+ --- �.�,.",,_tr - __ <br />- ----_,. _ _. _ _---- __,-._--- <br />Plans'approJed and Permit granted as reauested Rerein. <br />�] �� �� <br />-. ___ ._- __ �..�L ��.L`S'iLLr� .-__ i115P2CrOf <br />� a;�.. <br />By_ _ __ _ __ _ _. <br />PERMIT ?�° 3�n� <br />