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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 />.p. c� f <br />Everett, Washington ... :.�7 •1° f•••• •.d•........... 196 . <br />Location............I.....L........ ^✓t ri t�'..-..... <br />_ .. _.... <br />4 lira.......---- f ...-c... .................................. <br />caner.......... <br />- <br />Rough piping inspection _ _f1— <br />Pipe in excess of 60',_, •,"-" Gas Stoves <br />Gas refrigerators ___-_ ___ G,Ps wa ter. 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 400,000,B TCUi input x <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Small <br />Call Back Inspection ------ Fee Paid <br />=1C- <br />A9plicant <br />Plansral5eroded and Permit grantedlas requested lheieim <br />---- 2- - -Inspector <br />ay � <br />PERMIT N° 3628 <br />