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CITY OF EVERifT <br />�'tpplication and Gas Ins�ailation Permit <br />All VY ..F to be Done in Accordance with ' <br />5 . , City Ordinance � <br />Ev, , `. <br />ere;t; Weshington..---...���::�...�,,: ....,_1.9�� <br />�. <br />Locatiorf.... �::�.n�..�.�...���'.�:r.!'!'�c-* ............ . <br />Owne r.:...1...`....:.;(...r:...�i.'.;� ...:....:.::................................ <br />�.��,r.<.��. . 1 '. -%��.� . _.. <br />� . <br />%pplicant:� : ............ �:..........: ......._�..i.......---...._....__...._.. <br />1 `' � <br />Rough piping inspection —� _ <br />Pipe ir� e�tcess of 60'-_ __ _ Gas Stoves _:f_ _._ <br />Gas.refrigerators '____— _ ,Gas water heaters.�._._ <br />space heaters to 70,000 B.T.U. input _� <br />Gas _ . ... <br />Gas space heaters over 70,000 B.T.U. input <br />,: . <br />Gas furnaces to 400,000 B.T.U. input _ <br />Gas fumaces over 400,000. B��.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 />i � <br />------ •-----+s� � -- � - �---- _' <br />_ -�•~ <br />Call DackJnsNection -__ f-ee Paid 5. ,-b+__.W,,.,.. <br />' ��>- <br />.. � �� --. _.._ ,. __. ._ _ - ---- � -- - p`P.Plicant <br />Y' . _ <br />@ . _,�, _ ��=�"� � (_ � 1.`L. - °- � <..._.... <br />plans' approved md Permit grantpd as requcsted llierein. <br />�,/'�� ,�;) <br />--__6��6+(1L���"�°± Inspector <br />F �. — <br />QY ��` `)�- - _ — — — _ _ _ _ <br />PERMIT Id�' '' 3 `�'.� <br />