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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with <br />Cib.• Ordinance <br />Everett, Washington .......... ...''�,'.i/.G...a..Zt�......... l�l.. <br />Lo,ation... `1� .......� "`-� <br />Owner....... ' z... �Lf'..L.. -................................... <br />Appl icam......—?4. 1L.z................................................ <br />Rough piping inspection X f-_ — _ <br />Pipe in excess of 60' _ - _ Gas Stoves <br />Gas. refrigerators _— _—__ Gas water heaters <br />Gas space heaters to 70,000 B.T.U. inputX/r <br />Gas space heaters over 70,000 B.T.U. input <br />das fiJFnaces to 400,000 B.T.U. input <br />Gas furnaces over 4Q0,000 B.T.U. input _. <br />Conversicn units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input _ <br />Small appliances -------- — <br />all Backllrbgection ._ _ Fee.Paid $ <br />—Applicant <br />Y R° `J�' �' 7� - - --- <br />,, <br />Plaitsc''dPPt6ved'ancl Permit granted as requested herein. <br />— FrllnH HFrOKD, —Inspector <br />By �" -- — - <br />PERMIT N? 4965 <br />