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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...AA.......•.., .lg�y <br />r <br />Location .....---- <br />.... <br />Owner.........xt �.... <br />......... /.................... <br />a�� :.. . <br />PPlicanI........: L.A..... <br />Rough piping inspection <br />Pipe in excess of 60' - ____ Gas Stoves �/- <br />Gas refrigerators - - .._ n Gas water heaters. <br />Gas space heaters to 70,000 B.T.U. input <br />Gas space heaters over 70,000 U.T.U. input <br />I k% <br />Gas furnaces to 400,000 B.T.U. in,�ut - <br />Gas furnaces over 400,00,9.,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 />\p n: <br />'Flb� ' <br />Call R-_k'Inspection Fee Paid$ -! <br />�1 -A9plicant <br />J <br />plSks*�roJed and Permlif- ranted as requested Hi...,.iii: <br />l' <br />— If <br />-P Inspector <br />By / <br />PERMIT N9 3396 <br />