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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance WJltih•cl'''' <br />City. Ordinance _... ........ __. <br />Everett,.Washing�o/n-------r.. �.. .... <br />Location..°-.�--.!�(.V/.................. i^•tie. <br />........ <br />Owner... ..... ........ ..........( ....,........ <br />au <br />PPIc -..1 .-•........................................ <br />II <br />Rough piping inspection <br />Pipe in3:. Stg`Wb... ......_.... <br />°� P�« <br />bz{eraters iGr}s-w1ter heaters. <br />Gas space heaters to 70,000 B.T.U. input <br />Cas space heaters over 70,000 B.T.U. input <br />abG e <br />f as fu�naces to�400,000 B.t`-. i4ut <br />Gas furnaces over 400 0 pn 99 input <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Small Ippliances_--- <br />\qc.o <br />I Gz1 <br />Call Back)InWection. _ _Fee.Paid—ycnQga <br />—........ Aped cant <br />J6— <br />Pli4ceppro3ed"and Per ranted as requested h'tpi�i. <br />Inspector <br />By— -- — -- — <br />PERMIIT N? 4319 <br />