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CITY OF EVERETT , <br />�AS PIPING TEST AFFIDAVIT <br />Homeowner <br />Address_ ���Q ��it�,Ts—�ar�►�. Permit No. � 9 �— �iS� <br />The gas pfpiny system was tested at /� psi for a total of l-�T. minutes. <br />WITNESSED <br />INSTALLED <br />��T(date <br />��—f— <br />(date <br />Please arrange for someone to be preaent on the date of requested inspection to provide <br />access (or the inspector. <br />Hard Copy - Job Site Pink Copy - Contractor White Co <br />p�/� Inspector <br />