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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordancewith <br />City Ordinance "I <br />Everett, Washington.....--...:: . Q ... �Kf ........ <br />Location ........................................... S40 .. ( ................ <br />.... ...... <br />Owner..... ............. .......... ... . ..................... <br />Applicant..,: ... x_d ..... —i- ............... .... ................... <br />Rough piping inspection <br />Pipe in excest, of 60' --- -- Gas Stoves _ r <br />Gas refrigeritors, Gas 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 490r?2j9-�E!J-U, input <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />� MaP j),,a pliances---- <br />1 <br />Call[Backjlnspection Fee Paid $ <br />_c ­anSLPcrmit -gran I ted as rcques ed He...rf <br />. <br />n4*'7COKD --Inspector <br />