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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 />r� <br />Everett, Washington------.:: ...:/........ I ....... , 19.... .. <br />Location .........'i ..:.:..... d( <br />...... . ..... ....trd <br />Owner ...... ...L 1r :A.... _ <br />z....... ... <br />�. w,.,,,, . .... <br />Applicant........ _... .'3.`.-:.��.:..1.. ti, <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 furnaces over 400009,BJTt.,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 Inspecticn ,..__.,. Fee.Paid.$ / ! <br />., - Aglglicant <br />P zns ap roved arid,Permjh grantedlas requested IHeF.64 <br />"' "IN2KEi: HKOKD Inspector <br />By ---� <br />PERMIT N? 37 a l <br />