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RUG-26-2004 13�27 <br />�ai�oicouM ic.ve rna <br />fY.�i-19-2004 12 � 40 <br />ua/1yiu� ai;+� rq,., <br />PRO—STAFF MECHANICAL <br />206 361 0424 P.02iO3 <br />�t ou i�uu � <br />FRO-STAFF MECHRIJICRI, 296 361 042q P.01i01 <br />�.. � .. ._ . , ......, . , ,.,.. � . . , . . <br />CITY OF EVERE:TT <br />, (M D3o9- po 2) <br />GAS PIPINC TEST AFFiDAVIT <br />Horrteowner � vE.rt.G,Rcc���u�_ � �A�zB�,e �io�y,f c�,c- <br />Address_„_�- Sr �Y��,�!% ll/���psrmit No.'3Y1 cs3e(o-eo� <br />The gas piping ayatetn was te�ted ot�„'�_psi tor a total cf_�",,minutes. <br />WITNE55E0 H` <br />INSTAL�ED BY <br />���20�� <br />(date <br />�4 R 200�- <br />Please arra��ge tor someone ta 6e preyent en lh� date of reQueat�d 7pspaction to pravle� <br />access for the inspeatnr. <br />Hard Copy - Joa SEtca Pink Copy - Carrt�actor <br />� <br />White Copy • Inspector <br />TOTRL P.el <br />