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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............ e...�../......... 1 19..... <br />Location......._._ ... .................. - ............. .. �.-... ---....---........ <br />Owner.............-----......... ,........�.:. .................... i.............. <br />Applicant..................^............:..---............................... <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 />Gas space heaters over 70,000 B.T.U. input _ <br />Gas furnaces to 400,000 B.T.U. input _— <br />Gas iurnaces over 400,000 1-0,z. input --- <br />Conversion units to "0�00� B.T.U. input —_- <br />Conversion unif 400,000 B.T.U. input _— <br />Small applice -- <br />Call Back1nspection - Fee Paid $� <br />.-..Applicant <br />B)<,,.�wrt r .. <br />Flans approved d Perm`tyrapted as requested' Herein.1CLSWI'r��^ Inspector <br />By <br />PERMIT N4 4188 <br />