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% <br />-_, , . <br />': CITY OF �VERETT <br />, <br />�'�j' � GAS PIPING TEST A� FIDAVIT <br />Homeowner ��'4 `- �—�'�-�f� <br />Address �3L �� �c� �\v< Permit No. � U 3GT �' ll (� <br />The gas piping system was tested at f� psi for a total of�minutes. <br />WITNESSED BY <br />�?� -� <br />(date <br />INSTALLED HY ,� �'�-f-�-\ �,�'-!�'���� � V`) y, <br />(signature •. irlstalling n 3 i:tter) �(date T <br />r�iease arrange for someone to be present o i[he date of requested inspection to provide <br />,iccess ior the inspector. <br />Hard Copy - Job Site Pink Copy - Contractor White Copy - Inspector <br />