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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be <br />ordinance <br />D nein cordance with <br />City <br />GN 19(c. <br />Everett, Washington.......'-••- <br />/ ........... <br />................. <br />Location_.---- - .-.... -- <br />_ . .J_....................... <br />Qwne r. _...c.. al':C:!+aCL............ <br />^(��A <br />p,pplicant... .... ..._ f <br />Rough piping inspection — <br />Gas stoves <br />Pipe in excess ofI ¢0i1 -- <br />.I <br />G' <br />Gas water heaters <br />Gas refrigerators <br />Gas space heaters to 70,000 B.T.U. input <br />Cas space heaters over 70,000 B.T.U. input . <br />teas furnaces to 400,000 6.T.U. input <br />Gas furnaces over 400,O1.?s-&T tr, input -- <br />Conversion units to 400,000 B.T.U. input _. <br />Conversion units over 400,000 B.T.U. input -- <br />Small appliances - -- — - o <br />1(' -- Fet Paid <br />Call Back'Inspe tion — � / <br />r� pRlicant <br />g_�st� --- --- —' T�- <br />CvTI'-A`T — <br />PlalisC,ip 1rc ved and Permit granted as requested tte\ n• <br />Inspector <br />By 4544 <br />PERMIT N° <br />T _. <br />