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PL-18-3588 (3)
Energy Multiservices Corp. Drop Test Certification Florida Building Code Fuel Gas Section 406(IFGS) Inspection, Testing and Purging 406.1 General. Prior to acceptance and initial operation, all piping installations shall be inspected and pressure tested to determine that the materials, design, fabrication, and installation practices comply with the requirements of this code, Rc- 3-1 g- logy Owners Information: Permit Number: R 35'& Name: G '' ✓`r" V� R41011A � e Address: © h1,S 9 Z S '� City: State: �C.. Contractor:' I icense Number: _ `( Type of Installation: New: Upgrade to Existing: Description work: (Must include test details and include piping and appliances) System Pressure from Meter:®.s p}:T7 If Hybrid system, branch pressure: Water Column: S•a u-J- c. est Duration: / 0 ,4 ; ,1 A-5 (Qualifier) Signature M ✓A rint Naml State of Florida County of,44igvni D,61-0 ti , o3log liq Date Sworn to and subscribed ore me this � day of V-k 4+z�.1,�. 20�, by: (Io0ersonally Known Produced Identification- Type of Identification JUAN D'TRI MY COMMISSION GG 031349 EXPIRES: September 18, 2020 Fe nded Thru Notary Public Underwrile Office: (305) 796-2270 Email: energymultiservices@yahoo.com State Lic. # 28607 9380 JAMICA DR,CUTLER BAY, FLORIDA 33189