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CITY C�F EVEF:ETT <br /> •4Pplication and Gas Installation Permit <br /> F�II Worlc to be Done in Atcordance wi}Fi <br /> r�ty Ordinarn:e <br /> , ; ', <br /> Evcrett, Washin3ton...... ........ "? r 19..�� .. <br /> � ._ _ .. .... . <br /> q � ��,���� E:.,... <br /> ' .... <br /> Lccation..oG.n�. ....�,Q�,,, .... / i"' <br /> - G c�.G.s..J...../v�t.._.. <br /> Owne � ' h , J JA\ <br /> �:....... JL+[ J�. ,�...:... . <br /> . ......... r*..F••Y-^.�;.��.�;��-.>. <br /> � �e ......___.. <br /> Applicant._...:.`.-.... ..� �7� . . , <br /> . ...... ..-----z�.._.._........ ........_..... <br /> Rough pipin� inspection .�__ <br /> �'�pe in er rss of 60' __ <br /> - - - Gas Stoves _ <br /> Las refrigerdtors __�____ __ _ ,Gas wafer heaters __�`� <br /> ,s space heaters te 70,000 B.T.U. input ____ <br /> � r�s spece heaters over 70,000 B,T.U. input __ <br /> c:.s fuma�es to 400,000 B.T.U. input ____ <br /> i ,s furnaces over 400,000 B_T.U, input _ <br /> nversion units fo 400,000 B.T.U. i��pur �_ <br /> �- nversion units over 400,000 B.T.II, input __ <br /> Small appliances._._,_ <br /> . , ----- ------_- <br /> Call Qack Inspection .. <br /> --- _ Fee.Paid $ `_ <br /> �. -.,�__'�_� � ' <br /> .- . � `S --�/�pplicant <br /> a�, ��"� � <br /> — <br /> , , T--r.-------� <br /> _ S - -- <br /> Plal�g'approved and Permit granted as requ�sfed i�crefn <br /> � �; <br /> - -----�� 'G�� <br /> �-"�1-----__ Inspector <br /> f'�)' ;��I �, � • <br /> . , �. <br /> PERMlT �� ' � f:f;i <br />