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41677. CITY OF EVERETT do 1 <br /> PIPING TEST AFFIDAVIT ?tt,255 <br /> Owner FA <br /> Job Address 6- 3 o E -�1-/ �i� ermit No. hA 5-0 17-0e/ <br /> The refri•erant Zine, 'natural / P / medical gas system (circle one) was tested at Jr) psi for a <br /> total of des. 00i S <br /> WITNESSED BY � Date c 1 cl! 5 <br /> (Signatu f occur) sting gas service) <br /> INSTALLED BY Date Vic/'5 <br /> (Si attire of I stalling gas finer) <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 />