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"P/sz-, <br /> CITY OF EVERETT k <br /> PIPING TEST AFFIDAVIT <br /> Owner FA)e <br /> k., <br /> Job Address _13() /O 51 Permit No. (1..I LO - cf <br /> The refrigerant line( / medical gas system (circle one) was tested at 15 psi for a <br /> total of /0 minutes <br /> WITNESSED BY C� '�'�%. <br /> � L Date ////Z� <br /> v• <br /> -lure • upant r-•ues Ing gas service <br /> INSTALLED BY k j - _J , Date <br /> II <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 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 />