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CITY OF EVERETT <br /> #41(•%//z1- <br /> PIPING TEST AFFIDAVIT <br /> OwnerZS /13t&-&-b-VS, <br /> Job Address 545 l to cW' _. Permit No. C I7 I oZ _bt, . <br /> The r- "a -- - - - - - - - fel for a <br /> total of ( 5 mi„� - <br /> WITNESSED BY �' felt ' Date f 4 3 1 P5 <br /> (Signature of occupant requesting gas se ce) <br /> INSTALLED BY r Date ' / 0 <br /> (Si. ature of installing gas fitte <br /> Please arrange for omeone 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 LEAKS 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 NAME PLATE.(WAC 51-42-1108) <br /> Hard Copy - Job Site Pink Copy - Contractor White Copy - Inspector 0,3; <br /> PWPTA(5/17) <br /> 1 <br />