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.. � f/_ . <br /> j % r.. <br /> • � L / � V <br /> 1 <br /> CR��� STOVE NSTALLATIONS, INC. <br /> 900 � � DIVISION • OUNT VERNON, WA. 98273 <br /> (360) 336-2 i32 OR (800) 701-2532 <br /> � , CONTRACTOR LIC. M CRAFTSI 970 BT <br /> CUS'I'O�iF.R NM1F:/SI'PF.,U)DRF.SS co�•r,�c�rs �xrN: soi.0 _�. i ri � � % <br /> � = I � �+ ��q ��2 �Ns•r��t.�. � / � /� <br /> ___i__ \1'# JOlik 7T/ � <br /> �� iz R,�Lr,, - =ur- �Z A.ir- . _�� <br /> E r i = �f' C# 'I'I\TF. <br /> -'1SL S `11s-3a'S• 3)I( llq ' <br /> I311 LING INFO c*T '�.4`i� (:F:NF.RAL INFQ <br /> — 1�'OOD _ — INSF,RI'�_ �I011ILE _ 11ASONRY RP. Y N <br /> G,\S F.S. NT:\Y l.C.F.P. Y/N <br /> PELLF:1' _ 'l..C. -- ROOR l'1'PE C- N� PI'1'C}� �r t� <br /> O'1'HER F X15'PINC ti'1'OVI: 1'EN7' <br /> till'F DIRI:CPIONS <br /> c��� w r ��� � ,=�v� N� v�Z i � � �-�� <br /> � GAS MFC.� �10DEL S '>c�> SERIAL <br /> L.P./� PIPG <br /> r�Fl�. — <br /> citn�,v� ,Uk <br /> � I��1�TING GAS N ACC. <br /> �p.V. I3V - cl�L- <br /> C.:. <br /> DI: CRII'TION OF JOI3 <br /> _ �,.:��i .'�'� t [,`L� j P � I�i�� C�„'��1� i !���L/ / H� u t ��,�, . <br /> n - <br /> \OTES3Y3 5 <br /> A ,. s � P��3�tiz —�'�� � `_ �� <br /> �'7jn fd�- f�a M . ;�a r �� l7c � i- V.���i � 1 i i i�G! <br /> �_�'� � <br /> AFFIDAVIT FOR PRESSURE 'TEST INSTALL AD90UNT C�! � "� <br /> PRESSURG I IELD ON THIS PIPG SALES T:1� �I� �y <br /> PERM11IT .: -r,w=,c- �? '��i A, <„i <br /> LINE A'1'p�Q�� i'OR�MIN -- �, <br /> I�'STALLGR ���-�/��-5i�-'���-- TOTAL � �''� <br /> � j , <br /> CUSTOMGR(r���-- LOCATION <br /> �� <br /> -- � <br />