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CITY OF EVE�2ETT <br /> Application and Gas Installat:or Fermit <br /> All Work to be Done in Accordance with <br /> City-0rdinance - <br /> �, . . � 7 -^ <br /> � „-�.,,'.� ' ��� J.. �19(JJ_. <br /> Location.------....9..(........ ....:�;:.....:........... _. ..., <br /> . �..¢-r�.-F-e✓i_ � <br /> cverelt,�Was i3 �n.�...-�...................�._................... <br /> . . _ . __...... ._ .._...... ........ . _ _ _ .. <br /> , �._ r . . . _. <br /> Owner..............�-tt:��:... d..t.:�... .... - .... <br /> � ._ � .... . <br /> y <br /> Applicant.........�_�.,:s.,u�.l�:.V....Cr.. - . � , . <br /> Rough piping inspection <br /> Pipe`in excess of 60' . __— _ Gas Stoves _ .___-___ <br /> Gas .ref�igeretors _----_ �Gas water.heaters ,�'.�.__ <br /> Gas„space heaters to 70,000 B.T.U. input _�--_. <br /> Gas space heaters over %0,000 B.T.U. input <br /> _ . _ <br /> Gas fu�naws to 400,000 [3.T.U. input — ____ <br /> Gas furnaces over 400,0OO.�B.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 /> : , , <br /> ---�— �- <br /> � . -- 'T''=i-_ <br /> ` ko <br /> Call Backilnspection --_ _ Fee Paid $-�. .�,._... <br /> u <br /> ,—,_�.. . ---------------. ..Applicant <br /> ay, �.,.�-- C�-��.. _.,_Y <br /> — -- — -- ----- _.. .. <br /> � -� ,,. <br /> Plans approved and Permit gran4ed es �equested h�rein. <br /> -- — - '�$':;��°�e�i��P.--- ..Insp�ctor <br /> �,/ - - ��-�' ?�1 �-- -- - -- - _ <br /> PERMIT P��° 3'' ? `'. <br />