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� <br />� <br />Owner <br />Job Address <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />Permit No. <br />The refrigerant line / natural / LP / medical gas system (circle one) was tested at <br />total of l� minutes. <br />WITNESSED BY <br />ignature o occupant requesting gas service <br />INSTALLED BY <br />Date <br />Date <br />%O psi for a <br />Please arrange for someone to be present on the date of requested inspectio� 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 �'RESSURE 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 — Inspecto <br />