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"111 -.A <br /> CITY OF EVERETT H eiri awAvv, <br /> PIPING TEST AFFIDAVIT . <br /> , rack, 06 b <br /> • <br /> Owner k:af2)3,-- c AA 09s <br /> Job Address ' 53 0 ( Lit , 1J� Permit No. /V 1 1501-°LIZ <br /> (The refrigerant line natural/ LP/ medical gas system (circle one) was tested at 47,5(� psi for a <br /> l <br /> total of j jos. 171 idt,V5' <br /> WITNESSED BY Date <br /> (Si nature of occupant requesting gas service) <br /> INSTALLED BY Date /z//05 <br /> (51 nature of Ins I s flitter) <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 TESTIG SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE.(WAC 51-42-1108) <br /> Hard Copy—Job'Ste Pink Copy—Contractor White Copy— Inspector <br />