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CITY OF EVERETT <br />Appliqation and Gas Installation Permit <br />All Work to be Done in Accordance �witF' �' ` <br />Everett, Washin tonC-ity O�an� I - <br />�• , <br />. �lf � <br />� <br />9 � -- .,1._:......., 19.....i�a. <br />Location.�G.�i.%1....�...."':.. :. �J�.:c2r..�.::: :�.�.. <br />_ �"� _ <br />Owner..... �....3 � -� .C�' ��1 . .. <br />App�icantl ',G��L�. .J:l�.��� t.*. F" s�Lti �.G � r <br />Rough pip.,�g inspection � _ <br />Pipe in excass of 60' Gas $toves ----- <br />Gas refrigeretars ._ _ Gas �,vater..heaters _..�.� <br />Gas space heaters to 70,000 B.T.U. input �....... <br />�:. I: <br />Gas space heaters over 70,000 B.T.U. input <br />\,._. _. . <br />Gas furnaces to'�400,000 B.T.U. input — <br />Gas fumaces over 400,000-�B�T,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- ���i4-t—�-- :, <br />---- , _... . —�i— --- - — --" �U(%� <br />Call Qack'Insqection ---- __ - FeaPaid �����,.r.C- <br />�.- "- �Applicant <br />; r _>- _�,,� --- , � <br />.-x...t�.>� � ^1,_ �.-+�-�-a�W <br />�Y�iL�� v ' `� <br />f`!ans apGroved and Permik granted •as reqiiesYed 1Fereiri. <br />i� � �~, <br />. -; <br />" • ,.�' " �v"-G• ��i�,: ---_Inspector <br />- —�- ' <br />; , <br />� : �:'' . .�"`-- - --- --- <br />4Y _ - - <br />�---�--_' -- <br />.- <br />PERMIT 'T" �' '"., <br />