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CITY OF EYERETT <br />Applicatinn and Gas Installation Permit <br />All Work to be Done in Accordance iwitk � <br />City. Ordinance <br />, <br />EveretY, Washington........>.'�.'.'�......��......---, 19v_L_ <br />,� _ � � .i � ., .,N . <br />c <br />Location....�. ��s. �._�.......... <br />.......... <br />, <br />� ............................ .. . • <br />Ow <br />ner �_ . •4( Qr <br />.- ..... .,... <br />Applicant .. � � � -.....��.:,- � � � � .... <br />� � �"-�'��-..._...--•-�--- <br />Rough piping inspection � <br />Pipe in exr,ess of 60' Gas Stoves ' <br />Gas refriqerators Gas water heaters � <br />•- �_,. <br />Gas space heaters to 70,000 B.T.U. input � <br />Gas space heaters over 70,000 B.T.U, input <br />Gas furnacer,to 400,000 B.T.U. input <br />Gas fumaces over 400,000 ,B,T.U, input _ <br />Conversion units to 400,000 B.T.U. input _ <br />Conversion units over 400,000 [i.T.U. input <br />Small appliances_ _ <br />1 � <br />CaII Dack;lnspecticn .__ Fee Paid 5 `y <br />��� � ---:"-.^rz <br />� � � pplicant <br />_ � RL �� , u <br />�Yli�' i � _ � — <br />PIanS'approvei( and Permir granted as requested herein: <br />� '' ' <br />---v��-�''=L=---L Inspector <br />�Y - -- - ---- <br />PERMIT N:' 4810 <br />r c�: <br />. . � F' , <br />�� <br />