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CITY OF EVERETT <br />;.}Application and Gas Installation Permit <br />All Work to be Done in Accordance ivith C ML <br />-. a6 ffity Ordinance <br />3. 1 y� p <br />Everett, Washington .._:...... �� ..'-�U...:.d....... <br />(.f w <br />Location................._..:............ ............ -......... .... ......... <br />Owner ..... ...._ ..'.;�isQ.�-s....... _..---...... R'....................... <br />` <br />t[�, <br />Appncant .............:So-_......:..t.......Lt---�-.................. <br />Rough piping inspection -)4- _ <br />Pipe in excess of 60' " , Gas Stoves <br />`Gris72reyigerators _- ..-- LC�s water heaters...__ <br />Gas -space _heaters to 70,000 B.T.U. input <br />t <br />Gas spat, 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.U, input _ <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Small appliances <br />Call Ba k Inspection _Fee .Paid $ <br />"t+ _ --� � --% Applicant <br />Plans-apliroved a Permit granted as requestedlhiieih. <br />Inspector <br />By------ — - <br />PERMIT Nt. 3768 <br />