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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 />Everett, Washington......::_: <br />-r' <br />Location <br />Owneri V\ r/.a��.Uy�y <br />.._ ..... <br />Applicant Ir�e...... ✓ <br />....... ......- <br />Rough piping inspection x__ <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 />Gas furnaces to 400,000 B.T.U. input <br />Gas furnaces over 400;000•B:T.Uiinput <br />Conversion units to 400,000 B.T.U. input <br />Conversion Units over 400,000 B.T.U. input _ <br />Small appliances <br />oa .� <br />Call Back` Inspection --Fee Paid ,!� <br />.. ......... <br />. PA4canT <br />Plans approved and Perrrsit grantdd as requested h'eieln. <br />� C "" Inspector <br />3v <br />PERMIT 3121 <br />