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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........A......... 19- <br />Location......... 3...... ... .4. ...... <br />Owner .............. xl.%+-. <br />GU, IL'<,- <br />................... <br />Rough piping inspection —_ -_ <br />PI' P in e' . Fi I e6 . s,of . 60'r --f 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 />'TC Gas furnaces overI400,02R BI'A�, input <br />I V v <br />Conversion units to 400,000 P.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Small appliances- <br />. Lc' 2 n <br />Call Back Inspection Fee Paid $ <br />bendee <br />Applicant <br />�y . ... .... <br />11 ja <br />Pfiksr'A�Omved endhermitpranted as tcques4d wmk­ <br />—inspector <br />By— )27 <br />PERMIT N? 3'.'� 5 <br />