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1 <br /> � <br /> CITY OF EVERETT <br /> _ PIPING TEST AFFIDAVIT <br /> o,�,-�,�� ��'mr(��5 _ r/ <br /> Job Address _���� ('��h� Permit No. // ��/�L'�C��1S <br /> The refrigerant lin ; natural / P / medical gas system (circ e one) was tested at lQ psi for a <br /> total of �� minutes. <br /> WI7NESSED BY G7.�� /'��� Date ����,�f(J� <br /> ig , o ,� estin as serwce <br /> INSTALLED BY ' ' ,-�� Date �J,i' ��3�i^ J <br /> � ri� s i � <br /> Please arrange for someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> wEFRIG[RANT CONTAINMG PARTS OF THE SVSTEM THAT IS FlELD EFECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES tJOT <br /> i_f�`-:5 71i�;'��THL LOWE-R OF THE DESIGN FRESSURFS OR THE SETTING OF THE PRESSURE HELIEF DEVICES. ?NE OESIGN PRES£URE <br /> I C.;i! 1CbI II:G SHALL BE TNOSE LISTcii JN THECONDENSING UNIT OR COfdPRESSOR UNIT NAIdEPLATE. (WAC 57-42•1108) <br /> Hard Copy —Job Site Pink Copy— Contracior White Copy— Inspector <br />