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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, Wasshhinfgtton.......� / `:'. .._.. -^.'._., lq".k <br />1 Location .... .1..?`.6� S.._.... O�n.... Ml-c-'�'�"'�"�...:........... <br />Owner ....... :!'V ......`4 R l _ <br />5 r �:C ...._:. <br />A= �:.t VVVLLL....P..:.1.................... <br />pplicant.......... <br />Rough piping inspection <br />Pipe in excess of 60' ___ ._____ Gas Stoves _ <br />Gas refrigerators,- Gas water heaters <br />Gas space heaters to 70,000 B.T.U. input —� <br />r <br />Gas 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 40,0e9P,9`1'J(.Jl,1 input <br />Conversion units to 400,000 B.T.U. input -- — <br />Conversion units over 400,000 B.T.U. tt{ <br />Small. appliances - <br />Cali Back, lnsp ction- - Fee -Paid $ -iex•z <br />Permit Granted as requestec[Neieih'. <br />_ tdYLYIF' < t I:EC6U12 ---Inspector <br />By— --- — <br />PERMIT Ne 41 n i <br />