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Ciry of Eve�ett <br />/_.. ' — <br />Dare i % i � ' .'�_ , <br />Gas Instailation Permit <br />DEPARTMENT OF PUBLIC WORKS <br />Applianees No. <br />Convcrsian Units <br />�0 400,000 BTUs <br />(�pIIVL'lSIOO Ultl{S <br />JVL'f Q�U��DiI �TUS � <br />C�OAS��:•':;: <br />RJl1(Jt TO�lS �- OVCI15 <br />Furnacc; Io 400,000 BTUs <br />Furnaces ovcr 400,000 BTUs <br />Spacc Hcatcrs ta 70.Q00 BTUs <br />Space Healcrs over 70,OD0 �TUs <br />�__ <br />Finrpl.cc Lag jI�' <br />Water Hr.�mrs — I <br />Pq�ing <br />Pipe ir. eKr.ess ol GO' <br />Clofhes Dryers <br />!1rt Condiliomn9 Unil: <br />I3udcr <br />_. _.. _. ;.. —__-_-___.�L. . <br />Purmit Fec . . . . .C1 <br />.. _ .../ . r��► <br />. a�^ . �'� <br />��' _; ii,•�: nr.:_�:, � <br />,i <br />Address /� f.''. ' C__t� :iC'_F_[:_. �.' _'l-.'/L..^ . <br />nwner <-`T; �aG7�f1�4G� <br />iilaldllCf • �' : �.^' G_ <br />Ciry ol Everet�, bY i.__ ='. �" r'_.:.,:'.7c`/i., __ <br />- IMPORTANT NOTICE - <br />All work must confoim to thr. pruvisions of the ordinances ot the Ciry of Evere�t, <br />Washinqton. It is the responsibili�y of the Pcrmit Holde� �o sce that Ciry Inspection <br />Division is notified and the ins�allaGon inspectr,d bebre covering. <br />Rein�uks and Correciiuns: . __ _ _. _ _. <br />InspecGon —Date ___ Inspec�or_ <br />C.dl E3ar.k —Da�e__ Inzpcc�or____ _ <br />final �---Datc InsP�'r,[or <br />Ihis P��inul r�� �.� I�` ��u�,ind nn Job b+,fore S�artinG Instu;leliun. <br />R��mit . . � • <br />