Laserfiche WebLink
Homeowner � <br />CITY OF EVERETT <br />GAS PIPING TEST AFFIDAVIT <br />� <br />Address %��� �i K,[-�/V T �J t` Permit No. C'. /C�� ��n <br />� <br />The gas piping system was tested at�_Ps� �or a total o}�_minutes. <br />WITNESSED Bl <br />INSTALLED BY <br />�� 20 /D <br />(date <br />��Z�18 <br />(date <br />Please arrange (or someone to be present on the date of �equested inapection to provide <br />access for the inspector. <br />Hard Copy - Job Site Pi�k Copy - Contractor White Copy - Inspector <br />