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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance WOK' <br />City Ordinance <br />Everett, Washington......(!': -I.............. Ig <br />Location .... `5.Y..Q. -^..L::.�.f................... <br />Owner......... .....:rd,�.... �. <br />Applicant ...........":... <br />....... <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 />............ <br />Cas space heaters over 70,000 IL B.T.U. input <br />Ga................. <br />s furnaces to,400,000 B.T. . input <br />Gas furnaces over 400,00 B U. input _ <br />..R �ToA P - <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input _ <br />Small ,appliances__ <br />i 0r <br />Call Back,lveelion.._-.-__Fee Paid $-- <br />_Applicant <br />Pla scApp'roved'and Penrtirgrantecl,as requested herein: <br />� r <br />""�"' Inspector <br />By--- ---L h <br />PERMIT N° 4731 <br />