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CITY OF EVERETT <br />Applieation and Gas Installat�on Permit <br />All Work to be Done in Accordance with <br />City. Ordinance <br />Everett, WashingtonS.::'.r'�v �„� .............. l�./... <br />Location......�.� Q � � �"�TM'-^—'� <br />.............� -�--......................................... <br />Owner........... �..�..� .:....................i.:.............. <br />G�. �\ .. --- <br />Applicant:......:... - :.......... <br />Rough piping inspection __ <br />Pipe in excess of�60' _—T_ Gas Stoves _ <br />Gas refrigerators ` __ , Gas i:-ater 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 ro 400,000 B.T.U. input __ <br />Gas furnaces over 40U,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 <br />�all Dack lnspection ____ , Fee Paid $_1.__--'�� <br />— y�_ Applicant <br />�` � — <br />- � -- -------- <br />.. -�� i, ��. � — ---- <br />Plans approved and Permit granted as requested herein, <br />S2 •' ' � ._ _ Inspector <br />CY — -%'��� --- — <br />PERMIT N`? 496? <br />