Eaton County, MI · Eaton County
Gas Piping Test Verification Affidavit
Licensed mechanical contractors and mobile home installers or repairers use this affidavit to report gas piping pressure-test details to Eaton County.
At a glance
- Issued by
- City of Eaton County · Eaton County, Eaton County, Michigan
- Notarization
- Not required: file this form without a notary.
- Official source
- eatoncounty.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This affidavit records gas piping test results for a permitted installation and certifies that the listed testing standards were followed. Eaton County requires test reports before final inspection; a report may be furnished to the Mechanical Official beforehand or left at the construction site for the official at inspection. The form asks for permit and job details, contractor information, test date and time, gas type, test medium, and the contractor’s signature.
Who needs it
The contractor of record for permitted gas piping, including a licensed mechanical contractor or mobile home installer or repairer, completes and signs the affidavit.
How to submit it
Furnish the test report to the Eaton County Mechanical Official before the final inspection, or leave it at the construction site for the official at the time of final inspection. The form lists the Construction Code Department at 1045 Independence Boulevard, Charlotte, Michigan 48813.
About notarization
No notary is required; the licensed mechanical contractor or mobile home installer or repairer signs the affidavit and enters the test date and time.
How to submit this form
- 1
Download the Affidavit
Download the Gas Piping Test Verification Affidavit PDF.
- 2
Complete the Test Details
Enter the permit number, job site address, contractor and license details, test date and time, gas type, and test medium.
- 3
Review and Sign
Review the listed testing standards and have the contractor of record sign the affidavit.
- 4
Submit the Test Report
Furnish the report to the Eaton County Mechanical Official before final inspection, or leave it at the construction site for inspection.
Frequently asked questions
- What is the Gas Piping Test Verification Affidavit?
- It records gas piping test information and certifies that the listed test standards were followed. Eaton County requires test reports before final inspection.
- Who completes and signs this affidavit?
- The contractor of record completes the form. The document identifies a licensed mechanical contractor or mobile home installer or repairer as the signer.
- Do I need a notary for the Gas Piping Test Verification Affidavit?
- No. The document has no notary block; the licensed contractor or installer/repairer signs it and enters the test date and time.
- How do I submit the gas piping test report?
- Furnish it to the Eaton County Mechanical Official before final inspection, or leave it at the construction site for the official at the time of final inspection.