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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 ........... .......... .......1 19 ........ <br />j z f I ; a A,.% 41� <br />Location...... ........................ ................................ <br />Own <br />... ............ <br />er...... ............ ---------- .......... I ......................... <br />(I 'j-- -;(-I <br />Applicant..................................................... ........ ......... <br />Rough piping inspection - <br />Pipe in excess of 60' ---- Gas Stoves _._____— <br />Gas refrigerators__-- Gas water heaters—x <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 />Gas f urnac, s over 40Q,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 />Cal I Back'Inspection Fee Paid <br />. C,- c' --Applicant <br />BY A � . , - <br />and Permit granted as requested herein. <br />