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CITY OF EVEA� iT <br /> Applieation and Gas Installation Permit <br /> All Work to be Done in Accordance'with <br /> City Ordinance <br /> /; ay -� '_b __ <br /> Everett; W�shin on:::.::...!<< '� <br /> . . 9t. .. . .............�J:::.., 19...�`�., <br /> , .; Y,, , ��a_. . <br /> Location.......:.:::.G�b--� . <br /> I �- ....... .. . .....................-......... <br /> Uwner.........--`/�4Y�tr-.ti1.tY�-[�..r..... . .. ._ ._.. <br /> -... ....................... <br /> � .. <br /> Applieanh '�'t:r<^.'+�"+4e�'..E'`.� , . �" 7'�. ; .. _ . . <br /> � . � � .................. <br /> � <br /> Rough piping inspection �__ _ <br /> Pipe in excess of'60'_ _ ____ Gas Stoves _ <br /> Gas mfrigerators _ ___ _ Gas water heaters - _ __ <br /> Gas space heafers to 70,000 B.T.U. input ___. _ <br /> Gas space heaters over 70,000 B.T.U. input ___ <br /> Gas fumaces to 400,000 B.T.U. input ___ <br /> Gas furnaces over 400,000 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 /> Call Backllnspection- - __ Fee Paid �) ��� <br /> $ . ! __�- <br /> � A 1:. <br /> _... ; . -- - - - ----APP�licant <br /> ' —�r+-- /� <br /> By�,_-�-- —l�-�`s?-1� <br /> _ .__ _ <br /> - --- -=r- --- <br /> , <br /> Plans`approved and Permit.granted as requested Fierein. <br /> �. �J��� <br /> _ _---- -�'��_rS!,��`3 ' Inspector <br /> -"-- <br /> �Y. .-- - - -��.I_��'Z r- -----�---- <br /> PERMIT Id� 3����? <br />