HomeMy WebLinkAbout19010 66th Ave NE Unit 4_056297_2026 W F- o
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CITY OF ARLINGTON BUILDING DEPARTMENT
GAS PIPING TEST AFFIDAVIT
Homeowner
Address Cl 0 1 0 A'u N Permit No. 04- - L 11 -7
The gas piping system was tested at psi for a total of -2-0 minutes.
WITNESSED BYE- ,�1',< < ��,:. . :�, 12J � l b S—
(signature of occupant requesting gas service) (date)
INSTALLED BY
(signature &Installing gas fitter) (date)
Please arrange for someone to be present on the date of requested inspection
to provide access for the inspector. The white copy must be mailed upon
completion to: City of Arlington - Building Department
238 N. Olympic
Arlington, WA 98223
Hard Copy - Job Site Pink Copy - Contractor White Copy - Mail
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