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SNOHOMISH COUMY PLANNING & DEVEi.OPMENT SERVICES <br /> ONLY FOR USE IN Gqs p�p�NG TEST AFHDAVR <br /> pCCUFIED BUILDINGS � � <br /> �-�o„�r�r M�son[ Bkf,�/v cc�cF�lr� <br /> Adct� I(.o� �R�W c�f ,4vE ��.�. 1RlA- qszd l �r r,o.�o So a o 3� <br /> The gas piping system was tested crt /� psi for a totd of�mirx�tes. <br /> �-.� <br /> \ <br /> WfTNESSED BY - �/2�� <br /> o d q�servfce) cCde) <br /> INSTALLED BY �/�� <br /> t �os mreo <ade> <br /> Please cxronge for sorrnone to be present on ihe date of requested inspection to Fxovide access <br /> for the inspectoc The white copy rcxut be moiled to Sndiomish Counly Plarr�Yig & De�relopment <br /> Sc�rvices, M/S� 604, 3000 RockefeNer Averwe, Everett WA 98201-40A6 t�on cort�ielion. <br /> � �aa coc,,�-.�s�e a:r�copy-c«,woc+« wnre copy-�a �Z <br /> IIFSIII i�. <br />