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� .� _ � <br /> E <br />� <br /> CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordancc.with <br /> City Ordinance - <br />, , ;. ., _ . <br /> i' � .� � <br /> � �' <br /> Evereir; Washington....,..i�:.i`::.....:.:l..s- -......., 19.:i.'t.. <br /> r , �� <br /> Location.. ....:�.'.�../...C.?..-=---"7--�•�=��--•-�r--.__--��-�--�--.. <br /> �., <br /> f � ;� <br /> Owner -.......... ...�.t. t.---���=u <br /> �.:%!.s!. .....- ;7`......................... <br /> Applic� - .. . ?, . ._ .. . ..._. _ „- . __ . <br /> , <br /> r <br /> ant---..5.:�.� .:s.- -- •. � <br /> Rough piping inspection -�— <br /> Pipe in'excess of 60' -_- _ Gas Stoves _ -____ .. <br /> Gas refrigerators ___ __ �Gas 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 /> Gas fumacea to 400,G�0 B.T.U. input <br /> Gas fumaces ovzr 4pQ,C04. �,T.U. input —_— _ _ <br /> _. � � � <br />� Conversion units to 400,000 B.T.U. input _ <br /> Conversion units ov_r 400,000 B.T.U. input <br /> Small appliances_�_._�_�------_�.-�---- <br /> --- ; , .—:;, .�__�_.__..-.- _-,.—_,,-z <br /> CaYI Back�ln;qection��_ _ Fee.Paid-$_�..T, <br /> ,_._.. ��-_`----��_---_._.----.Applicant <br /> By.. ., . ...._�.,��}c,s.��.".l�"_ J� / .;�-_L;---'-t o- -�- <br /> Plar,s 'epproved and Perinit granted as requested!fieYein. <br /> %.. ., ' .t•,,: <br /> � <br /> _ - --- - � � ��Y� ---f-_ - -Inspector <br />� ' l' / <br /> BY _ _ _-- - -�_1-`-- --- <br /> PERMIT ��?�' "';'�-� <br />� <br />� <br /> ,.� <br />