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CITY OF EVEREIT <br />Application and Gas Installafion Permit <br />All Work to be Done in Acc.,rdance with <br />City Ordinance <br />;� _ , .� , i�.. S� <br />Evemtt, Washingron.......:.:..� ....................._......, 19........ <br />•; ,. -� j ' � <br />Location ` � � �' �' �'�'�� �:'"" <br />..... ...: i ....................................... <br />; ................,. <br />�( .'� .- � n.✓;:� .�n.. <br />Owner ...........:.............:.......j:....:....................................... <br />� <br />Applicant .......::'.: '.....�...�. <br />........ .......................................... <br />l <br />Rough piping inspection ___ ____ <br />Pipe in excess of 60' ___ Gas Stoves <br />Gas refrigeretors. __ Gas water heaters � <br />Gas space heaters to 70,000 6.T.U. input __ '� <br />Gas space heaters over 70,000 D.T.U. input __ <br />Gas furnaces to 400,000 B.T.U. input -___ __ <br />Gas fumaces over 400,000'B.T.U, input __—__ . <br />Conversion unils to 400,000 6.T.U. input ___ _ <br />Conversion Units over 400,000 B.T.U. input . <br />Small appliances _ _ _ _ _ __ __ __ _ _ _ _ <br />---- - -- - -- — ----_._�_ _ <br />�c:: <br />Call 6ack Inspection ____ _ Fee Paid 5—`� <br />� <br />c � j � <br />. ____---- -� -�- — �---- � -AP�licant <br />1 <br />g `�'.�.r.,_i''.,_' 'F s� <br />Y--- --= -- �- --- — <br />Plans approved and Permit granted as requested hercin. <br />���, <br />.-nC :;., <br />'�"� �''�—�' "� � --__ - Jnspector <br />l3v_ <br />PERMIT <br />