HomeMy WebLinkAboutPermit File 1616 12th Street Puget Sound Gas Works if
425-343-5566
PugetSoundGasWorks u@Gmail.com
30326 36th Ave NW, Stanwood,Wa 98292
Gas Pipe Pressure Test Affidavit
For Cascade Natural Gas Company
vev
Project Address: iv\
� 4 e °= i s L
This gas line was tested at 15 pounds pressure for twenty minutes to check
for gas leaks.
Gauges were checked thouroughly so pressure will not be
released_
This gas line was soap tested to check for gas leaks.
By signatureof the gas pipe mechanic, the gas leak test was completed and held test.
�y
Gas Pipe 1Mechanic: :x,��'i I��\ !� , "q�'_
Date
Pressure Test Date: