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001:77- CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />Owner <br />Job Addr <br />Permit No. m n7j a—oc <br />The refrigerant line atur / LP / medical gas system (circle one) was tested at /y psi for a <br />total of /5 minutes. <br />WITNESSED BY �, Date ty <br />(Slgna VbDj ant re esting gas service <br />INSTALLED BY Date <br />1 <br />Please arrange for someone to be present on the date of requested inspection to provide access for <br />the inspection. <br />REFRIGEnANT CONTAINING PARTS OF THE SYSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br />LESS THAN THE LOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51-42-1108) <br />Hard Copy — Job Site Pink Copy — Contractor White Copy — Inspector <br />