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CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner � �1 <br /> Job Address " � Permit No. (_-���—�� <br /> The refrigerant line/ natural / LP/ me ical gas system (circle one) was tested at Z� psi for a <br /> total of '�-`�_ /5� minutes <br /> WITNESSED BY Date �.(- 2S' ��2 <br /> ' i c pa eq s �ng gas arvic <br /> INSTALLEDBY _ _ Date y - 2S-1�c <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 1HE SVSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> LESS THAN THE LOW ER OF THE DESIGN PRESSURES OR THE SETTIN6 OF TME PRESSURE RELIEF DEVICES. THE DESION PRESSURE <br /> , FOR TESTING SHALL BE THOSE LISTED ON 7HE CONDENSINO UNIT OR COMPHESSOH UNIT NAMEPUTE.(WAC 51-l2-1108) <br /> ' Hard Copy-Job Site Pink Copy-Contractor White Copy-Inspector <br />