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. . .. w','A[�Y, . . . . . <br />� . Advanced oeie I co.:�oa ey: ;% syeb aaa: <br />. � <br />installations, Inc. - <br />eu.� ro: <br />16504 Hwy 99, Suite 101 <br />Lynnwood, WA 98037 <br />(425) 745-5977 <br />JOB LOCA7ION: <br />Fax: (425) 745-6404 � <br />Licensed • Bonded <br />Lic X,4DV.AN17033DU t�om y�l <br />I TYPE OF JOB D SC I <br />^ /_t7. // )�.i <br />— %i-�'i F I won� <br />I OF WORK DONE <br />Leak Test � Ibs. For: �S /%�+1�u�! � <br />f!_ _ <br />Bubble Tesl::� Tesl Burn: � — <br />Inet. for operation 8 curing: � _ <br />Pilot in stove adj. ✓ <br />AirAdj. sat: 1L��-r� __ <br />serial M 3�� J�' _ �1Q-.-�i�— <br />All pilots rellt Ha0 tank eta `� .— <br />Furn. back on:�-= `,�,� ��{�,J� <br />Installed by: —� "'EY�� JsL{ <br />Comments: <br />lmoice +� <br />� <br />TOTAL <br />!� � r `__. <br />/ U y `� <br />Sub Totel: <br />Betance Du '' � <br />Terms: �.. , , ., �/r � ,,.. <br />y��6 ��r /� ��� � / ,�T <br />�'���s <br />7��Ib/ <br />Customer VerHlcation <br />I heve read this form and I have made a <br />visual inspectlon of the work area. l acknowledpe <br />the satisfactory completion of the work <br />described except that whieh is speclNed on thts <br />form. .�-� <br />n � t � ,� �; �. <br />Siyned: � � •. , • � � Date: � . f <br />