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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with <br />City Ordinance <br />Everett, Wasshii.7ngton.......L.srr.. ........7........ 19.6.7.. <br />Location ...cx.7.1......0...�i ....corm,u....... ....... .. <br />Owner....O.%fY..v1t1L...... . L2`.n.s-."....................... <br />Applicant.'......:..`.L7...Y �s..�........................................ <br />" Rough piping inspection �! --- <br />Pipe in excess of 60' —_— Gas Stoves __ <br />Gas, refrigerators _--_ ___ .Gas water heaters <br />Gas space heaters to 70,000 B.T.U. input <br />Cas space heaters over 70,000 B.T.U. input <br />Gas°furnaces to 400,000 B.T.U. input <br />Gas furnaces over 400,O0p �ji.U. input <br />Conversion units to 400,000 B.T.U. input _ <br />Conversion units ovar 400,000 B.T.U. input <br />Small appliances_______—___ —.—.- <br />ic24 <br />Call Baeklinspeetion _-._____—__ Fee Paid $--7�, <br />______Applicant <br />`� - --- - <br />------ ------ <br />-------- -- <br />Plans Approved and Permit granted as requested herein. <br />III ii_ Inspector <br />By <br />PERMIT N:' 4609 <br />