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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 />w '. , 1 11-1 1 - <br />Everett, Washington ...... 4,P, 0 , <br />I. ..r­ ............. ............. <br />Location ...................10 1- CLAAAt f <br />................... .............................. <br />4U <br />Owner_ .......... ........... ................................... ................ <br />Applicant.-J)'.o . ..... ..... ......... ...... <br />Rough piping inspection .,4 <br />Pipe in excess of; 6p" r c < Gas Stoves <br />Gas refrigerators Ga's water heaters <br />Gas space heaters to 70,000 B.T.U. input <br />Gas space heaters over 70,000 B.T.U. input <br />Gas furnaces to 400,000 B.T.U. input <br />Gas furnaces over 400,00Q B.T.U. inr-A — <br />Conversion units to 400,000 B.T.U. input — <br />Conversion units over 400,000 B.T.U. input <br />Small appliances __ — <br />Call Back,Inspection Fee Paid $ <br />_—Applicant <br />Piak'S*l3rove4cdlnd, Permit granted as requested herein. <br />VECO If D -Inspector <br />PERMIT N? 4493 <br />