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CITY OF EVERfTT <br /> Application and Gas Installation Permit <br /> All Work To be Done in AcwrdancelW�}h"'' <br /> r , ;<� -�,� City Ordinance . <br /> t � � '; � ,•. <br /> - , <br /> 9 ' �'� '�- j.:': , �� <br /> Evereth, Washin ton-:-::- •- 't!:.........:.. . .:........ l .... . <br /> �i / / � <br /> Location......._..��.U......�...�...�l.�t..r..-----�--�---......... <br /> _ (� ` . <br /> Owner .;:. (�c-�,cl !' '�-�t-' e--f� ---..... <br /> � � <br /> ��c ��:; \ � ,y- j,.k. _ _ _ <br /> Applicant.�.....1.�.�.3.'�1����.�- .`,�.�g....................... <br /> � ; Y_�,,� - � <br /> Rough piping inspection _ <br /> Pipe in exces4 c�f�60'" � _. Ga$ Stoves _ - <br /> \ \ , ` ' <br /> ,Gps;,�refrigerator� '_ Gas water-heaters.._� <br /> _ `_ 1 <br /> Gas space heaters to 70,000 B.T.U. input —�,_ <br /> _ �a,.. � �� � , � .. <br /> Gas space heaters over 70,000 B.T.U. input <br /> i�.b,. . . . . .. � .. . <br /> Gas furnaces to 400,000 B.T.U. input <br /> Gas fumaces 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 /> �o'r�J� <br /> Call Back'Inspection ___-___ Fee Paid $�,__� <br /> \ o <br /> __Appl icant <br /> �+ '-��- - ------- -- i o� <br /> B �� <�- �� - -�--_� ._�..��T� <br /> Plens`approJed and Permjt�granted as �equesYed ilie�ein: <br /> - -,/� ti � � <br /> _ --- --'-�-s( d��frn��_-r.� _Inspector <br /> . , ' �-- <br /> 4 � - -- - -- �� f ,. -- <br /> � - F'- _��- --- <br /> PERMIT A�: -� � '�� <br />