HomeMy WebLinkAboutPermit File 1718 12th Street 1111111111111111.1111.11.1mmmillik I Puget Sound Gas Works I le
425-343-5566
PagetSoundGasWorks@Gmail.com
30326 36th Ave NW, Stanwood, Wa 98292
Gas Pipe Pressure Test Affidavit
For Cascade Natural Gas Company
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Project Address: f\Ak
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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 signature of the gas pipe mechanic, the gas leak test was completed and held test.
Gas Pipe Mechanic: -- g •/7 7
Date
Pressure Test Date: