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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 ..................... ,2iy <br />� ;)a <br />, 0 A <br />Location .... J..`...S�J...,/...............c.Sr:........... ............. <br />Owner.....!:...... ............................................. <br />Applicbl •..... . <br />/1�r .:..::. <br />Rough,piping inspection <br />Pipe in excess of,60' Gas Stoves --- <br />Gas refrigerators_ IGa,s water heaters. <br />Gas space heaters to 70,000 B.T.U. input <br />............... <br />Cis space heaters over 70,060 B.T.U. input <br />Gas furnaces` to 400,000 B.T.U'. input <br />Gas furnaces over 400t�1BITOU; input <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Small ?ppliances______-- - _ <br />Call Back) nspestipn __ Fee.Paid.$ <br />t n <br />ppolicant <br />BY ! f �.r , <br />r -r�-- <br />Plan§capproved and Permit granted as requested herein: <br />Inspector By <br />PERMIT N° 4781 <br />