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Homeowner <br />CITY O� EVERETT <br />GAS PIPING TEST AFFILA!/IT <br />Address_ ��(� S (L��_ ,UL• PermitNo.�j� S�rG-D�( <br />/ <br />The gas piping system was tested at I�psi for a total of / 5 minutes. <br />WITNESSED BY <br />INSTA�LED BY <br />(da e � <br />T �T <br />(date <br />Please arrange for someone to be present on the date ot requested inspection to provide <br />access for the inspector. <br />Hard Copy - Job Site Pink Copy - Contractar White Copy - Inspector <br />