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GAS PIPING TEST AFFIDAVIT <br />/� , r. _ �..'. <br />Owners Name -✓���-� � --- <br />Job Address �v_� /_- �j `s-rr--� � � � � <br />_, .; .7�' <br />Permit No. -- ^� � <br />(206) 670-1256 <br />Installing Contractor RELIABLE SHEET METAL, INC_/DBA ARCO INSTALLATION, LTD. phone 1-800-869-7043 <br />The gas piping system at the above address has been under pressure test for <br />�� Minutes al __�S_ pounds - wilhout leaking. <br />Signature of Installing Gas Fitter � _� --'�a'l������2�'^' — Date _/� ^��--� <br />�. . . 1v-.3v � <br />Signatureot Homeowner _ -_- -- - -• ----�---_ -------- Date — <br />