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-_ ._ _ _ <br /> __. <br /> G�1 -- VIT ' <br /> ��J 6 �F �e�.��- <br /> Homeowner �n � e <br /> Address o��U+� E✓e��' �. n� Permft No. y$3 7.� <br /> The gas piping system was tested at�_psf for a total oi�minutes. <br /> I WITNESSED BY �sJ�-✓f <br /> , � signature of xcupant requesting gas servfce) (date) <br /> INSTALLED BY �T C�t �F1'e'-�-��i�" ` s�—��� <br /> �sfgnature of fnstalling gas fitte� (date) <br /> Please artange for someone to be present on the date o(requested fnspection to provide access for the inspector. <br /> The white copy must be mailed to Snohomtsh County Community Development,M/S M710, 5th Floor,Admintstratlon <br /> 81dg., Everett,WA 98201 upon completion. <br /> HerdCopy-JobSite PfnkCopy-Contractor WhiteCopy-Mail <br /> co-�w <br />