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„-. .. <br /> . .�r;�wj.t•n-,;�nr.p;;*.r; i:7p7t',(�.1�. ?;Ka•�;:.a^.'Sfi_!'""c'"""",'^"'^fiy�'.JI:FYi��y.�;,ti�'.'w�W7!�'.t�,1-,'rlt4�r�e'.:�.,;�.a:>^N�;r,'.'!ql?t`9t�ti�4r,��%l�'fiifal.'',�. <br /> �aAS PIPING TEST AFFIDAVIT <br /> r--- � <br /> Owner's Name��=�'_� — - • <br /> 1`�'c� <br /> �`\�,,.��(� � � �� ° <br /> Job Address --�(��5.�-� . — - .�1fL. ' Permit No. ” „� <br /> (206)670-1256 ' <br /> Installing Contractor RELIABLE SHEET METAL, INC./DBA ARCO INSTALLATION, LTD. phone 1•800=869-7043 <br /> The gas�¢ping sysiem at the above ad�s has been under pressure test for <br /> ��� �Minutes af�3 pounds-without leaking. ' <br /> . /J� ' l� , <br /> Signature o(Installing Gas Fitter.���x�:�- �,4� � • Date !�/�"< '1� <br /> v �-. �4 /1 /I <br /> Signature of Homeowner__ __ ��1�`� '�\ ���_-._— Date_L r^� �— <br /> � <br />