Laserfiche WebLink
CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />Owner _ EQUI i O N CW %crR PIZIsCS L L ------ TIae /%-SO/js -Al, 602- <br />Job Address Z& 3 ! W At �J vT /_ _-_ Permit No. M 1 till //8 <br />E <br />refrigerant line natural / LP / medical gas system (circle one) was tested at OD psi for a <br />total of minutes. <br />WITNESSED BY I - <br />-jS/ ure ccupa equesUng gas serwce <br />INSTALLED BY <br />. u u <br />Date 2 - /(? -- /s <br />Date .7 <br />Please arrange for someone to be present on the date of requested inspection to provide access for <br />the inspection. <br />REFRIGERANT CONTAINING PARTS OF THE SYSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES Da <br />LESS THAN THE LOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESS <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51-42.1108) Hard Copy - Job Site Pink Copy - Contractor White Copy - Inspector <br />