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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance;wfJRcioL <br />_City. Ordinance _ ........ <br />Location.. Z 0ft�. <br />................ <br />Owner...... c..!.........." ..................�... <br />... <br />Applicant: :._ 4_ <br />Rough piping inspection <br />Pipe in excess of 60' _. --'Gas Stoves <br />Gasrefrigerators _____._ ,ggs..water heaters _.— <br />Gas space heaters to 70,000 B.T.U`input _ <br />Cas slate heaters over 70,000 B.T.U. input <br />Gas f.-naces to 400,000 B.T.U, input <br />Gas furnaces over 400,OPO 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 />JA <br />��X2a <br />Call Back Inspection ____—__ Fee Paid $''� �, <br />c <br />i _lAp olicant <br />HER-s-CX�C�G�ZLIr-�v' � <br />Pf&cal5pro3d and Permit granted as requested herein. <br />r:ON Urr-our. Inspector <br />By_ <br />PERMIT N? 4874 <br />