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� CITY OF EVERETT � <br /> PIPING TEST AFFIDAVIT <br /> Owner ��'h1 ��.Ll�� <br /> Job Address ��5�' � ��s��- �v r�f'� L�j/� Permit No. C'> � �Z`�'/�7 <br /> / <br /> i <br /> The refrigerant line / natur / LP / medical gas system (circie one) was tested at _ / <� psi for a <br /> i , <br /> total of _1_`�__ minutes , , <br /> WITNESSEDBY Date �i- 12-o'] <br /> � ignat� ccupant eque tin gas service <br /> IIVSTALLED BY �!'�,��� , Date 3-�Z-o'� <br /> -- (S�ititluiu uI ifSs(�T+:e%t, �j�5t�lil�� <br /> Plcase arranye tor someone to be present on the date of requested inspection to provide access for <br /> ihe inspection. <br /> Il[FRIGERANT CONTAINING PAFTS OF THE SVSTEI.1 THAT IS FIELD ERECTED SHALL BE T[STED FOR LEAK AT TEST PRESSURES NOT <br /> L[55 THAN THE LUWER OF THE DESIGN FRESSUR[5 OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> � hOR TESTIIdG SHALL BE THOSE LISTEO ON THE CONCENSING UNIT OR COM17PRESSOR UNIT NAMEPLATE.(WAC 51-d2�i 708) <br /> � H.:rd Copy -Job Site Pink Copy - Contractor White Co�y- Inspector <br />