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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance !wish <br />City. Ordinance _ -i <br />Everett,. Washington.......... ........ 19.t2 7 <br />Location.3 /....... cal'. ....................... <br />Owner...`................. <br />� . - <br />---�• S.r!!...... ............... <br />5 Ica <br />- Y VPCfA . ... ......................_. <br />r LLL r <br />S4pphcan' y. '.': .. ..: :....... ).fir:.......-.-.............. <br />Rough piping inspection <br />P-ipe'in exc�ss f{60', Gas Stoves -� <br />�i <br />Gas,fefrige#tors :Gas water..heaters� <br />Gas space heaters to 70,000 B.T.U. input <br />OM. _.. - - . - _...................... <br />.-... - LL \u, 1. <br />Cas space heaters over 70,000 B.T.U. input <br />t7as furnaces W'400,000 B.T-.U. input <br />Gas furnaces over 4POi090.0P1TA input <br />Conversions units to 400,000 B.T.U. input <br />Conversioq 1tstbver.400,04 B.T.U. input <br />Sm,a�loappa iances <br />77 <br />Call Back n . Fee Paid $ <br />� &—+'.-Applicant <br />PlescABBFdGed'ari"P"rRr-rIt'-gfarife�'as requested h��P'ir�: <br />9hrrµ1i inw KFcnKn Inspector <br />PERMIT N° 4915 <br />