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cn <br /> CIT'Y OF EVERETT `� <br /> PIPING TEST AFFIDAVfT <br /> Owner � x�-W �� I <br /> Job Address ��1`� �J� OC��vR��� JC'S�}`�' LtJ R' Permit No. ��U�U I - OSn <br /> i <br /> \` C V n � <br /> The refrigerant line / iTatcKaU1P1 �,��+��^�;:^^� ' '�„ ���P) was tested at y�psi for a <br /> total of �f� i�t�ies. // <br /> WITNESSED BY � � Date '7//c��0 <br /> n t r o o u requesiing g s servicej-- <br /> INSTAL�.EDBY � �}�Q�,�,v Date y,� �D��_ <br /> � � � � <br /> Please .;rrange for someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> R[FRIGERANT CONTAIfJING PARTS OF TI1E 5YSTEt.1 THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> LESS TI1AN THE LOWER OF TH[DESIGtJ PR[SSURCS OR THE SETTING OF THC- PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR T[STItJG SHALL�E 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 /> I � <br />