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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, Washington........ <br />Location ........ 3.. ..!...�---� :: ....................... <br />Owner.....---.../..... <br />.. .................. <br />Applicant ... L....... <br />V <br />Rough piping inspection —X <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 400,000 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 appliances_____. <br />—JI-e — <br />Call Back, Inspection _ _. Fee Paid $_7 <br />--/�/' --- Applicant <br />Plans approved and Permi ranted as requested herein. <br />Inspector <br />PERMIT N:' 4553 <br />