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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance''. with` <br />City Ordinance <br />f <br />............ ..I9L^..... <br />Location......St .1.✓....i sr:.r..er- :...... �-------------::. <br />.................... <br />/\pplicant....^ t.. .' ................ .. •. <br />Rough piping inspection <br />Pipe in excess of 60' _ " Gas Stoves <br />- <br />Gas_refrigerators -- Gas waterheaters <br />Gast space heaters to 70,000 B.T.U. input <br />Gas space heaters over 70,000 B.I.U. input <br />Gas furnaces to 400,000 B.T.U. input\ <br />Gas furnaces over 400`00p_Bj_Ui input <br />Conversion units to 400,000 B.T.U. input - <br />Conversion units over 400,000 B.T.U. input — <br />Small appliances �,,. o.` <br />1024 <br />Call Backl4j� ection.. . Fee Paid .$ -=�r_rrc; <br />p olicant <br />1. <br />rs`A00-i ved-and Peiiiiit-drartied�as requested Herein. <br />Plate <br />CCItt7�E�.11fr, _ _ _Inspector <br />_ , r <br />By - -- <br />PERMIT N? <br />