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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Worktobe Done in Accordance ilvith <br />City Ordinance <br />Everett, Washington:::... ............ <br />Location....... �J..7.... ................ ert <br />_..- .................. $.xi.NY........:: ...:... <br />Applicant.... ....:..... ._........................................ <br />v ��// <br />Rough piping inspection _1 <br />Pipe in excess of 60' 4 Gas Stoves <br />Gas refrigerators _ — _ __ Leas water heaters. <br />Gas space heaters to 70,000 B.T.U. input 2k <br />-!.,,Dr BA.1 h , <br />Gas space heaters over 70,000 B.T.U. input <br />Gas furnaces to 400,000 B.f.tS. lRput <br />Gas furnaces over 400,00 _J81rOyj input _ <br />Conversion units to 400,000 B.T.U. input _ <br />Conversion units over 400,000 B.T.U. input <br />Srllal o�PPliances o <br />Call Back Inspection -...._ ...._--Fee.Paid.$ <br />_.—_.._..._ _.ARpolicant <br />AL3 ram_ <br />Pli{ i'A Wi&r ed acid Peiniit?giented as requested ;herein: <br />FrOl D.—Inspector <br />PERMIT N? 3?1 2 <br />