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CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner ge.,76 <br /> Job Address IM D. (A, se 4-veele2W Permit No. 6 /09 -066 <br /> The refrigerant line / natural / LP / medical gas system (circle one) was tested at 15 psi for a <br /> total of 30 minutes. <br /> WITNESSED BY Date <br /> (Signature of occupant requesting gas service) <br /> INSTALLED BY Date kc je <br /> (Si re installing gas fitter) <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 LEAKS AT TEST PRESSURES NOT <br /> LESS THAN THE LOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES.THE DESIGN PRESSUR <br /> FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAME PLATE.(WAC 51-42-1108) <br /> J <br /> Hard Copy - Job Site Pink Copy- Contractor White Copy - Inspector )- <br /> PWPTA(5/17) <br />