Laserfiche WebLink
Homeowner <br />CITY O� EVERETT <br />GAS PIPING TEST AFFIDAVIT <br />r <br />� <br />� <br />Address ��/ �/ �// /%'1 UK r' L Tr d l� �tld Permit No. '�l oloc/-oo$ <br />/ <br />The gas piping system was tested at�_psi for a total of !S minutes. <br />WITNESSED BY <br />re <br />INSTALLED <br />� <br />Please arrarlge.i�ome� <br />access for the inspector. <br />onny gas <br />�i / <br />�date —� <br />�% <br />�date �� <br />to be present on the date of requested inspection to provide <br />Hard Copy - Job Site Pink Copy - Contractor White Copy - Inspector <br />