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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:.: :!` " ...I ................... 19..� ( <br />� i 4/ _ 3 3.t.d S-h ------ <br />Owner....... a •-�...... n.x..... <br />. ..... ................. <br />......... .......... <br />Rough piping inspection <br />Pipe in excess of 60' _ _ Gas" roves' <br />Gas refrigerators EGas watec.heaters.� -- <br />Gas space heaters to 70,000 8.1 6UC input _.. <br />Gas space heaters over 70,000 B.T.U. input <br />LAbr <br />Gas furnaces to 400,000 B.-f. . input <br />Gas furnaces over 4n0,0 P.A94zTO�I 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 />Call Back;lnspection.- Fee. Paid-$_=e <br />o <br />... ._. _n ............ ........ <br />PI3�irsd�W}oved�and Permit granted'as requeste .herein. <br />(o �ia'Fr!rollu -Inspector <br />BY <br />