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� <br />� <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />Owner �%c.�.�� ._) �G � (�rq, l�� 1(aL?`� - l`!(� % <br />Job Address �� i 3 �'��CS Permit No. �,���,! %�� <br />The refrigerant line / natural / LP / medical gas system (circle one) was tested at (� psi for a <br />total of f�_�_ minut , <br />WITNESSED BY Date .� � �I�C7 <br />gnature o o p- questing gas service <br />INSTALLED BY -� Date �. �, �� <br />i n ig sier <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 />