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: � � �?�� <br /> CITY OF EVERETT � FEe 1 e �sss <br /> ............... <br /> � �A� PIPING TEST AFFIDAVIT�^o�riro��E��T�` <br /> Homeown�r �Lr� <br /> Address �v �L� �QN�� � P�rmft No. /�/.T 3% <br /> The yas pipinp system wa. tested at,�_psi for� totd of�minutes. <br /> WITNESSED BY <br /> � � � <br /> (sipnatu e o occ pant roq est np pas s�rv ce ate <br /> INSTALLED BY � �f <br /> (s tur of instal inp p�s er " "� �te � <br /> Please arrange for someone to bs present on the d�te of roqusst�d Insp�ctfon to provide <br /> access for the Inspector. <br /> ' Hard Copy • Job Site Pink Copy - Contnctor Wh�� � <br /> �� Inspr_ctor <br /> . • � <br />