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CITY OC [VERETT <br /> �i <br /> Application and Gas Installation Permit <br /> AIl Work to be Done in Accordance with <br /> City O;dinance - <br /> 9 , I <br /> EvereM, Washin ton:.::::.:.:�d-cn.-....� �. / / <br /> .... ................. 19�7.b.. <br /> ^ - `� !.� <br /> Loca t i o n.....:�.�...`.�...�.--.-.-.��-�................'-�-- <br /> ` I /' J ---. . <br /> Pner C'C.'�4�4f ... (.- �_�F�. ._ . . .. <br /> � . ! . . . <br /> A plicant , ..' �'�G X<�k.--�t,o!..� { �/���/'� , ... <br /> y� vz <br /> r� <br /> Rough piping inspection _ <br /> Pipe in excess of 60' :__-__ _ Gas Stoves _ _ <br /> Gas r ��o�s . __ . _ Gas waTer heaters _l___ � <br /> G� p;,ce heater, to 70,000 B.T.U. input ____ <br /> Gas space heaters over 70,000 B.T.U, inp�t —__ __ <br /> Gas fumaces to 400,000 B.T.U. ;nput _ _ _ <br /> Gas furnaces over 400,000 B.T.U. input __ __ <br /> �; — _ <br /> Conversion units to,400,000 B.T.U. input ___ _ <br /> Com•ersion un:ts over 400,000 6.T,U. input _ ___ _ <br /> Small ,appliances_._�__..____._.�_ __� <br /> _._.—...._ . . -----._.—_._�—r d'� '-- <br /> CaII Backllns�ection .__y______ .Fee Paid$_��, T_ <br /> . ..,..,.�—.�-----�---- —/ ---'qPPlicant <br /> QY..-3`=T"''�Lr_Lf�_'�1' _.__.,_L__.5��6 -------------- <br /> Plans'approved and Per'mft granted as.req�aested I�erein. <br /> � —�?-/���I �` � <br /> c ��1".K�a.:_'�`_-E.�i- ---. .Inspector <br /> By _�_it�_ � _ .. <br /> PERMIT '� :�� � �- , <br /> � <br /> ; <br /> � ; <br /> i <br />