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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordancewith <br />City Ordinance r- <br />Everett; Washington.........C? ../,c'......... 19. r <br />Location.............7_a.Q .. <br />t< ..r�?t..:............ <br />,n .. <br />. . Owner_ .......... <br />.... <br />Applicant .... I ........ i.. Z.-.Y....Y...1....................................... <br />Rough piping inspection_.__. <br />Pip, im.excess of 60'.r_-` Gas Stoves <br />Gas refrigerators Gas water heaters _x— <br />Gas space heaters to 70,000 B.T.U. input _ <br />Gas space he ' rs over 70,000 B.T.U. input <br />Gas furnace .) 400,000 B.T.U. input' `1 <br />Gas furnaces over 400t0�1Q.�j��tUf input <br />n[ ,..i <br />Conversion units to 400,000 B.T.U. input <br />Conversion units over 400,000 B.T.U. input <br />Small, appliances.._.__.____._._..__ <br />i6-0 <br />Call Back, Inspection _. ._ Fee Paid S.... , <br />_ _Ap�icant <br />@Yrr s ly <br />PlAkicApproved and Permit granted as rcquested,herein. <br />—.-. �>—`�sarti.icsi=.fL-l:C.411iZ_ Inspector <br />PERMIT N? 39� I <br />