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8612 XAVIER WAY 2016-01-01 MF Import
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8612 XAVIER WAY 2016-01-01 MF Import
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Last modified
4/26/2017 11:02:39 AM
Creation date
3/9/2017 3:51:02 PM
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Template:
Address Document
Street Name
XAVIER WAY
Street Number
8612
Imported From Microfiche
Yes
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SNOMO�MISH COUNTY COMMuN�TY DEVELOPMENT <br />GAS PIPING TEST AFFIDAVIT <br />Homsown.r "'�'"Es � ( AdaY.✓ ���R. <br />� Q'� l.1 ,1�tui er- l,�J.. y �✓�re ly lri• 9�a o� Permu No. <br />�� P�PkW �bm wb tested et /.f psi lor a total of / S'� _ minutes. , <br />; <br />:, k <br />v <br />wirN�seo sv �/1/1�� �1�Gt� _� 1L/L/�3. :.. :' <br />(sipnetun cr «xupant nquatkq y�s eervfc.) (�j ; � ' � <br />iNsr�u.eo er �� ' // ��,�j 9S <br />(eipnehws ot k�stapi Ws fittaf (dKs) <br />Pls�w �rnrq� for som�ons to bs present on tM dab of roquested Inspscdon to provids acceas for �hs kisp�ctor. <br />Th� whU� copy must b� m�N�d to S�olwmbh County CommunUy Dsvslopment, ANS N710, 5th Floor, Administr�tlon <br />Bldp•, Eventt. WA 98201 upon compktbn. <br />co-im <br />Hard Copy - Job Sils PiMc Copy - ConVacta Whke Copy - AAW <br />
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