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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 />t <br />Evc ett, Washington ............. �........................... 19...4. <br />3 Locationo <br />....................................................::j ................. <br />Owner... <br />wner..................... o........�.........�......................... <br />Applicant....................................... ................................ <br />Rough piping inspection <br />Pipe in excess of 60' ___- _ Gas Stoves <br />Gas refrigerators —_ - Gas water heaters <br />Gas space heaters to 70,000 B.T.U. input . "- °Y - <br />Gas space heaters over 70,000 B.T.U. input <br />Gas furnaces to 400,000 B.T.U. input - <br />Gas furnaces over :00,000 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 appliances — <br />Call Back Inspection _ Fee Paid $__4 - <br />--- - 4 i 1J c--------Applicant <br />By,__ ` ihU JfL b 0 <br />Plans approved and Permit granted as requested herein. <br />---�1, <br />—- — ---Inspector <br />By - -- - - - <br />PERMIT 3195 <br />