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El <br />CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in AccordancelWl�}S`i" <br />City Ordinance <br />...........:.. <br />Everett; Washington....::: � ., <br />�l./ _............... <br />. ..... <br />Location ............. �...:-... . <br />Owner ......... <br />/.1.�n✓`''� <br />............................ <br />.;�,U LleJ ................... ..... <br />Applicant:...... <br />........................ �.' •�••• <br />Rough piping inspection --- <br />Pipe in exkess 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 furnaces over 4,00 <br />rq%)PiT& 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 Pald-$ <br />By - <br />plans approved and permit granted as -requested hb(eln_ <br />t�,nky/Zy�AyrJsf, M0_ __ _Inspector <br />PERMIT N° 3"11 <br />