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, <br />� <br />� <br />Owner <br />� <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />-- � ��2�v� � � /,� �eJ. <br />Job Address � 00 / �/{i'l�-�� �-tfl� Permit No. ,�! � l b—'b7`� <br />The refrigerant line / natural / LP / medical gas system (circle one) was tested at j`� psi for a <br />total of Z`� m+�u#�s. ����'S <br />WITNESSED BY '� f ::; ,�, Date �Zf ,�� <br />ignature o occy{�� questmg gas service <br />I NSTALLED BY %� Date ,• �, l� �-� <br />i s ing s i r <br />Please arrange for someone to be present on the date of requested inspection to provide access fcr <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 FRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR CO�v1PRESSOR UNIT NAMEPLATE. (WAC 51-42-1108) <br />. <br />Hard Copy — Job Site Pink Copy — Contractor White Copy — Inspector <br />