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1 <br /> J CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner � �1 � h <br /> �C� LC/ C l� � /C� �l Permit No. �l'I �'zn'2 -��2 <br /> Job Address -��1� — <br /> The re rf igerant line/ was tested at 3QU psi (or a <br /> �� <br /> total of �inutes. � <br /> WITNESSED BY � , Date � � � S,� 0J <br /> igna re o occ an ues in gas servic�— <br /> INSTALLED 8Y ; Date ��� / Z <br /> Piease arrange for someone to be present on the date of requested inspection to provide access for <br /> the �nspection. <br /> REFRIGERANT CUNTAINING PARTS OF THE SVSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURFS NOT <br /> FOR EST�G SHA�LL/6E TOHOSE LDIS E�ON THE CONDENSING UNIT OR COMFfI SSOR UN T NAMEPIATE.(WAC 5E DZ S;OB PHESSUFE <br /> Hard Copy- Job Site Pink Copy - Contractor White Copy -Inspector <br />