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CITY OF EVERETY <br /> APplication and Gas Installation Permit <br /> A�� Work ro be Done in Accordance ivith � <br /> Git <br /> y-Ordinance <br /> Everctt, Washington.::...(,_Lifit � <br /> � -:-::��-•-.:::., �q�S <br /> Location.---� 01 p � <br /> __ _ .....................�. <br /> _ ..... . . <br /> _ . <br /> '\ � . .............. <br /> , /, F _ <br /> Owner.................�C.a.C4. �.7 4M,rir <br /> .......---'---�.................................. . . . .. <br /> �:. _,;�, ,�<<.. . .. . - . ' - <br /> ,:n. . ..... <br /> �PPlicanf....... .......:....� .'� -. .. _ <br /> ............................................. <br /> Rough piping inspection � <br /> P�pe'in ezcess of 60' ____ <br /> Gas Stoves <br /> Gas refrigerators .___ _ _ .Gas water heaters�.__ _ <br /> Gas space heaters to 70,000 D.T.U. input � <br /> Gas space heaters over 70,000 B.T.U. input <br /> Gas furnaces to 400,000 B.T.U. inp�� <br /> Gas furnaces over 400,OOQ.6 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 /> Call Back�inspecticn-_. _ ----�it�"`- <br /> � ----_ Fee Paid $ r <br /> f? ��«.... <br /> t---�_�±' � S• <br /> ~� (DQ � � Applicant <br /> ---- <br /> BYuy�--�-C�E'... � � — _.-- <br /> - ----���- �-- -y <br /> lV <br /> plaRs�6pj�roved a Permit rented as re uestedl�p�ein. <br /> 9 q . , <br /> -- ------ - �-�f"-y'—�4�,'�af:CQ1t4 ----Inspector <br /> �Y - <br /> I°ERMIi I►,�o �,,�„; <br />