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4M7TCITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner <br /> Job Address 00a 54ICt, Permit No. N <br /> The refrigerant line / natural / LP / medical gas syste'9m l one) was tested at 7 psi for a <br /> total of _ minutes. <br /> w t <br /> WITNESSED BY - -- "`"�" Date \Z <br /> (Signature f occupant re sting gas servic <br /> INSTALLED BY > Date <br /> ( u in g er) <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 PRESSURE <br /> FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE.(WAC 51-42-1108) <br /> f' <br /> Hard Copy - Job Site Pink Copy - Contractor White Copy - Inspector <br /> PWPTA(5/17) �� <br />