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� <br /> CITY OF EVERETT � <br /> PI�'ING TEST AFFIDAVIT <br /> Owner � �i �'- -- <br /> JobAddress � � ��----{—�L�� '1" � PermitNo. �D�10I - OSC� <br /> 1 <br /> ���•r 17 <br /> The reirigerant line / . ystem (circle one) was tested at � psi for a <br /> total of��� minutes. <br /> WITNESSEU BY � �����,p Date �la� <br /> a ur o cup t reqy�sUng gas service}�— <br /> INSTALLED BY �� Date 3� � h� <br /> . r i i <br /> Piease arrange for someone to be present on the date of requested inspection to arovide access for <br /> ihe inspection. <br /> REfRIGGRANT CONTAI�ING PARTS OF THE SYSTEh1 THAT�S FIEID ERECTED SH�LL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> LE-SS THAN THE LOWER OF THE DESIGN PRESSURES OR THE SETTING OF TFIE PRESSUFt H�LIEF DEVICES. TH�DESIGN PRESSURE <br /> �OR TESTING SHALI BE THOSE LIST[D ON THE CONDENSIN�UNIT OR COMPRESSOR UNIT�JAMEPLATE.(WAC 51-d2•7108) <br /> Hard Copy—Job Site Pink Copy— Contractor W hite Copy— Inspec!or <br />