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..e,.,�-.�,,.^.._. _...m_..._._._____ _._ _____ '_ _ _.... _....._.�.._.____ �..._..�—........,-- . <br /> �� i.� ��� �� ►, ��� � � � <br /> CITY OF EVERETTI�� i��,� 0 3 ;s�9 � ' <br /> GAS PIPING TEST AFFIDAVI�'„ ,- „r- ��;� : _ � r <br /> Homeowner <br /> ��� ��'Q�s f'erc!t �r�� �.� ' <br /> Addreas z�Z�L C�ACt. S`r, PermitNo.Msti�-61C� <br /> The gas piping aystem waa teated at_�_psi for a total of ?- rs nrinr{�a, , <br /> � � I <br /> WITNESSED BY ��� <br /> (s natu occ p r es p�� rvice) ( ate <br /> INS7ALLED BY ��_3 /� I, <br /> - sipnature o�natallinp p�s titter) (date I <br /> Please arrange for someone to be present on the d�te of reQuested inspection to provide <br /> access for the inspector. <br /> Herd Copy - Job Site Pink Copy - Contractor WhiM Copy - Inspecta <br /> I <br />