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CITY OF EVERFTT <br /> Application and Gas Inslallation Permi! <br /> All Work to be Done in Accordance wtth <br /> City Ordinancc <br /> Evcrett, Washington...........l.R:.<„/,l/,..� -t (. <br /> ............... i 9.....7.. <br /> �o�,f�on......._...3./.� <br /> � !t�:�..�r�.r........................... <br /> ,. <br /> /. , <br /> Owner..........................�1.�. <br /> ../ .......... ................... <br /> Applicanf....:Jp(���L..r... . � <br /> . ......:........�:....... <br /> Rough plping inspection _ _ ., _ . . � <br /> Pipe in excess of 60' _ _ ___,_. Gas Stoves _ x <br /> Gas refrigcrators __. ___. Gas water heaters___._ . _ <br /> Gas spaze hea�ers �0 70,000 B.T.U. input __._ __ <br /> Cas space heaters over 70,000 B.T.U. input -__ _ <br /> Ges (urnaws to 400,000 B.T.U. input <br /> Gas fumaces owr 400,QD0 f3.T.U. input <br /> Ccnv�rsion units fo 400,000 B.T.U. input <br /> Conversion units cvcr 400,000 B.T.U. input <br /> Small applian[es___ .___. <br /> —._. .--- -- ---- -�---- <br /> __— - ---_. <br /> .7. ... <br /> �ali D��k Inspcction . _.___ _ � o-a <br /> Fee Paid S--__.�...... <br /> ..._ ___ _ .------------ -- <br /> / - --- . PPlicant <br /> Gy... _.. .e?1.:.� '�.�". - 5 �*3 �J <br /> ?lan4'approved and Pcrmi�granted"as reques;ed herein. <br /> ��`,�JV�•� <br /> �---..... : �:1.'_ hupectoi <br /> r v ✓� ) 7'�, <br /> PERMII V':' �1 t:?�� <br />