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CI'i Y l�F EVERETT � <br /> Application and Gas Insfallation Pcrmit <br /> i111 Work to be Done in Accordance ,wifh � <br /> City Ordinancc <br /> Evemtt, Washington_-.........�...�.�................ 19!i��- <br /> Location.....��.S?'J�....��-t��.i....!�C�i..".^.L............ I <br /> Ownc r.._:�.9.:C�.]�.r.......�.'12r1.!.iJ An...-.......................... <br /> Applicant_...:.l;:r.L..�=�:..�.::..........._............_............... <br /> Rough piping inspection _ _ _ _ _ <br /> Pipe in excess ot 60' �__ Gas Stoves . _ __ _ <br />, �as refrigerators f-_ _.. __. G�s waten c�aters�____ <br /> � <br /> Ges space heate.rs tc 70,000 B.�.U. input _ _ _ <br /> Gas spa:.e heaters over 7C,000 B.T.U, input __ _ <br />/ Gas fuma:es to Ap0,000 B.f.U. input _____ _ _ <br /> Gas furnaces over 400,OD0 B,T.U. input __ ______ <br /> Cenversion units to 40(1,000 B.T.U. input —__.___ <br /> Conversion units ovar 400,000 B.T.U. input _____ <br /> Small appliances..._.------------------------- <br /> --�.__�._.._�---- ------------ ------ <br /> i - � � <br /> Call Back Inspation __.._.____ Fee Paid b��_.___ <br /> .- -• -- �: ' ,qpPlicant <br /> � ----- ----- -�— <br /> --- <br /> � � : <br /> _.. . <br /> - - � . <br /> dy�i-;,.�c:_�--- .��'� -'�—�--"�.:f,� <br /> _'_ _ ��__._.' <br /> Plnns approved and Permit�granfed as requested herein. <br /> � ' - =���=�-=--'- '---- Inspe�tor <br /> f -' „ <br /> L'v P- . ' . , .. � � <br /> PERMIT .!'',' 1777 <br />