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larimimiummumminsmilik <br /> isimminummormineempei <br /> Puget sound Gas Works e <br /> 425-343-5566 <br /> PugetSoundGasWorks Gmail.corn <br /> 30326 36th Ave NW, Stanwood, Lea 98292 <br /> Gas Pipe Pressure Test Affidavit <br /> /�, For Cascade Natural Gas Company <br /> .€A ‘,,vi 4,,,,,(c4,.., <br /> ,, <br /> ,,, jc ' l <br /> Project Address: i�"S _ f� ',s - <br /> A--A-k-pk_ ecv-i- ,.,.$, 1 tijek _ <br /> This gas line was tested at 15 pounds pressure for twenty minutes to check <br /> for gas leaks. <br /> Gauges were checked thouroughly so pressure will not be <br /> released. 1 <br /> kJ This gas line was soap tested to check for gas leaks. <br /> By signature of the gas pipe mechanic, the gas leak test was completed Arid held test. <br /> Gas Pipe Mechanic _ ,i t r.f f1. l 1tcrl i OF-, <br /> i4F f`r ,,,r <br /> Date <br /> Pressure Test Date: <br />