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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, Wash ington.......•. • �'•- 19 �..5a. <br />Location.... . �.L..../z...... XlS:.Y.:..� <br />Owner <br />°........... <br />�:.............. . <br />CIO, <br />pp icant.._.... <br />Rough piping inspection --- <br />Pipe in excess of, 60' Gas Stoves _ - - -- <br />Gaszlefrigerators _-- LGas.water heatersx <br />Gas space heaters to 70,000 B.T.U. input <br />LM <br />Gas space heaters over 70,000 B.T.U. input <br />_............... <br />Gas fu'Enaces to 400,000 B.T.U. input _ - <br />Gas furnaces over 400,OQg 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 />Call Back :'Inspection.._- FeePaid $._ .qe <br />Appjicant. <br />69'an4capdroved and <br />�_ormit granted as requested h)eteip. <br />f t -- <br />�y, _._Inspector <br />PERMIT N° 4280 <br />