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CITY OF EVERETT ' <br />GAS PIPING TEST, AFFIDAVIT <br />�� <br />Address � 2�� � r�► !�} �/E �L Permit No.� "a/3" <br />� � <br />The gas piping system was tested at /� osi for a total of�_minutea. <br />� <br />WITNESSED Bl <br />� ate � <br />INSTALLED BY ��G�� ����P�_� ��� <br />ynature o ns mq �as tter) (dste <br />Please arranpe for someone to be present on the date ot requested inspectlon to provide <br />access for the inspector. <br />Hard Copy - Job Site Pink Copy - Contractor WhFts Cop�► - Inspector <br />