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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance Iwiih = <br />City Ordinance <br />i ' <br />Everett, Washington::...... .. /�....19..�'.1y <br />Location........:. i :i - <br />yy <br />i 1 <br />Owner ................- •-- - -... <br />'gough piping inspection.__2i1— <br />e-ipe in excess of 60' — Gas Staves <br />Gagzjefrt*' ators __—_ ,Gas water heaters. ��/ <br />Gas space heaters to 70,000 B.T.U. input <br />_I. �— <br />Gas space heaters over 70,00 J6 <br />enn <br />p 0 B.T. .input <br />dAbe r _ . ..................._ <br />as furnaces to 400,000 B.T. .^input _ <br />Gas furnaces over 400 OOOr B, tU, input _ <br />i \• � A�. <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Sma I appliances—_ __---� <br />Call Back jIniRpctionFee Paid $ � <br />D <br />-----ADDlicant- <br />c. � yn <br />BY Il B cl yf o <br />proved' and Permit, ranteda's requested Reiein.: <br />�l <br />Inspector <br />PERMIT N� 4369 <br />