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CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner ------------ - —y�-___-- q <br /> JobAddress ._��_---��/�C'/�_ PermitNo. ��i��S-��o2 / <br /> �� n s-r� A N O U rwT W�'72-c�-+�-+�d <br /> T � p��,. <br /> -tS�i�.rAirwMs �� rS; `k-�� '1�00 .� Fo2 I S Nl� <br /> WITNESSED BY � �1�._�' � ,(�,,�� Date �5�`�-O�, <br /> - r �na�ure o ccup.int «�yues yas serwce — <br /> INSTALLED BY y, ��� Date �-q-p,C. <br /> �rtm . 7mrt��a �tt�rr---- <br /> Please arrange (or someone to be present on ihe date of requested inspection to provide access for <br /> Ihe irspecticn. <br /> HGFRIGERANT CONTAINING PARiS OF THE SVSTEM THAT IS FlELD EFFCTED SHALL BE TESTED FOH LEAK AT TEST PRESSURES NOT <br /> LESS THAN THE LOWER OF 7NE D[SIGN PRESSURES OR THE S[TTING OF iHt PFESSURE RELIEP DEVICE:��. THE DESIGN PRESCiURE <br /> � fOR TES(ING SHALL BE THOSE USTED ON rHE CONDENSIIJG UNIT OR COfdPRF.SSOfi UNIT NAMEPIATF.(WAC 51-C2-1108) <br /> Hard Copy - Job Sit� Pink Copy - Contractor White Copy- Inspector <br />