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4:77. CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner //__ <br /> Job Address Ck) C! 5 L= E5— <br /> VC/2 /7 -11'l/// L Permit No. plo 9 `-e,o <br /> The refrigerant line / natural / LP / m-e al gas system (circle one) w. - i:d at psi for a <br /> total of minutes. •2J11 I-Q/VE 71 <br /> WITNESSED BY •a e <br /> (Sigure 6 occupant requesting gas service) <br /> INSTALLED BY Date 7/z // , <br /> lSig`> Lure of installing gas facer) / " <br /> Please arrange for someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> REFRIGYRANT 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 />