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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 />1 <br />r ....��-r:-...., M47.. <br />Everett, Washington:.-...`:�...... <br />s G Location......C----....-. z <br />.. �, <br />Owner ........ .._:....... <br />......:..... .i...^�c.-:-....-...-... ........ <br />e4ILT..-._...(......... <br />Applicant.:.- � .-. <br />�`x'�"- <br />Rough piping inspection _ — <br />-' " <br />Pipe in excess.gf 60' - ' Gas Stoves <br />Gas refrigerators -- Eggs water heaters <br />Gas space heaters to 70,000 B.T.U. Input x <br />Ca space heaters over 70,000 B.T.U. input <br />I, <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 \ I <br />c"F <br />Call Back) Inspcction --- Fee Paid$ cr-�tK <br />_Applicant <br />plg;k§cjo5roGid and Permit;granted as requested here]n. <br />jJQtrylffCUDi ---inspector <br />L'y <br />PERMIT N° 4492 <br />