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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance wlfh <br />•--- .- -- - City Ordinance <br />i Everett, -Washington....... .t:............... 19F.'•1r <br />Location_. ... <br />.... '1�.. �../.._....................... <br />Sh. n a .................... <br />Owner.... ................ slti.r.......................... <br />• <br />%pplicant. l ........................ t. <br />r- <br />< 5... '...................ac., . <br />Rough piping inspection _,Y--- - <br />Pipe in excess of 60' __: __ _ Gas Stoves - <br />Gass refrigerators Gas water heaters ---- <br />Gas space heaters to 70,000 B.T.U. input <br />Gas space hewers over 70,000 B.T.U. input <br />. �bv <br />Gas fyrnaces to 400,000 B.T`.U, ihput _ <br />Gas furnaces over 400,0 0. B U. input <br />Aur.pu V LT ; P -- <br />Conversion units to 400,000 B.T.U. input — <br />Conversion units over 400,000 B.T.U. input <br />SCl?4io�PPliances__ _-____ <br />00 <br />Call Back'Inspection __.._ Fee Paid $� <br />�v <br />— ---- �491�licant <br />Jo <br />P1`iik§4i§0t6Ged and Periiit',granted as requested herein. <br />------Inspector <br />PERMIT F 'n(.i <br />