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CITY OF EVERETT <br />Application and Gas Installation Permit <br />AIl Work to be Done in Accordance with <br />Ciry Ordinance <br />Everett, Washington_.......��•••-�--�/••-••���, 19-.(�--l.. <br />Lotation............t�.:3.. �........ CY...`�-'�7f..!��!._..,... <br />Owner .............. �.�: �q.......���C....... <br />_ . ,�,,:, .. . Y . � �A'"�� � <br />App�icant...'.........�,..C�....�7r+<--s7-.--- ......_.......... <br />�/ // <br />Rough piping inspectian <br />Pipe in excess;of 60' _ Gas Stoves _ <br />Gas refrigerators ;Gas.water heaters � <br />l,as 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.I�. input <br />Gas fumates over 400,OOO.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 appl <br />_- � ,, , <br />Call Back,lnsp�ction __.r___ Fee Paid $�- <br />_. � ----�°`PPlicant <br />. -.. _ � ------ <br />Dy... �._..e-�`c� �''--��f �--------- <br />Plans'approved and Permit granted as requested herein. <br />_ _ --- �. t. .., �: —.Inspector <br />�f` J�-�----- <br />QY. . _ .-- -- -- -- - <br />PERMIT N:' 43E;3 <br />