Laserfiche WebLink
�,. __ _ _ _ <br /> / <br /> CITY OF EVERETT <br /> GA�IPING TEST AFFIDAVIT <br /> Homeowner a�' � /�a-� e— <br /> Address ��� G(X�ST ��x� �l �� Permit No.� 99'ld `6�/2 <br /> The gas piping system was tested at � � psi for a total of /S minutes. <br /> WITNESSED BY �� / y �i <br /> (signature of occupa�t eques i p yas service) (date} <br /> „ <br /> ��1 -�, {, .�. /,, I <br /> INSTALLED BY !_ . .1 ,��� G'u.�%�'� �_2-�/� <br /> ' (signatuDe'o inst ling gas fitter) (date} <br /> Piease arrange for someone to be present on the date of requested inapectlon to provide <br /> access for the inspector. <br /> Hard Copy - Job Site Pink Copy - Contractor White Copy - Inspector <br />