Laserfiche WebLink
� �'�^'' , AHordablc Washington BackOow Tc5tin9 BACKFLOW PREVENTION ASSEMBLY TEST REPORT <br /> a,;��•.i��,�, (36G�B63•3784 Test Procedure: USC 1Mh Editlon <br /> w,\TF.It PURYF.YOR Lvcrett ACCOUN7'� <br /> .\SSF.1i131.1' ID/PII.F. N/UTILITI' UEVICF:d Plelcr N <br /> NA�fI?OF I'RIi�115E A'1lditiLhl GroccN Commercial � Rcsidcntial ❑ <br /> SI•:RVICE ADnRESs ?G25 Colby Avc Ste 3 & 4 Everett '/_IP 98201 <br /> co�T,�crrcRSON Jamcs rtio��r (�?5) 551-9365 <br /> • LOG�T�oN oP ASSf�t13LY ��� ti�tchcn on luall abovc \iop Sink <br /> DO�VNS7'REA�t PROCESS Carbonation Dispenscr DCV,\ ❑ RPIiA ,e] P\'ilA [1 OTH�R <br /> NG�\' INS'lAI.L ❑e GXISTING ❑ I2EPLACL�IENT L� RGJfOVGD ❑ OLD SER.N <br /> APPKOVEU ASS[�:�iI31.1'? 1'fiS I�� \O U PROI'ER INSTALL:�TIO\7l'FiS i7 NO ❑ <br /> �IAKEOF.�SSE�\IISI.I' 1VaUc 110DGL I_F0090T SLRL�LNO. ���51 SIZI: .S" <br /> INITIAf DC�'A/RPE3A DCVA /IiPIiA RPI3A PVIIA /5V'13�1 <br /> CH[CK NA1.\'F: \O.1 CH[:CF: �'AI.VF.: N0.2 ,\IR I\'LE"1' <br /> "fGST orF�en,�r 3.a ��SID <br /> CIASED"IlCti'f � CLOSED TIGIIT �✓I OPE�ED AT PSIb <br /> I'.1$$I:D � al CNF,CK 2�.� p$jn <br /> LGAKGD ❑ LEAKED LJ <br /> r•.ai►.ru ❑ TIGHT rs�p TIGHT I'SIU :��ac;�roh:� Ycs nioNoroee� r� <br /> CIfAN REVU[f �AR' QCAP� NEPLACE PART QCAN PEPWCE �ART CIILC6 \':�LVE <br /> `�^�v ;� � ❑ r �� � ue�o,�r PSIn <br /> P�UiTS ❑ ❑ ❑ IJ � '^' �_E,��:t:u [� <br /> n�» <br /> r� ❑ n ❑ ❑ ❑ <br /> ❑ ❑ f I f I D ❑ ci.e,��cu ❑ <br /> RGPAIRS � <br /> IiEPAIRF.D <br /> TeSI'nFTi>R CLQSGD'IIGII7' ❑ CI.OSP:D 7'IGill' f_I �2V F,X[RCISF.D ❑ ,�i�t rvu.r PSIll <br /> IiL•'PAl12S I.E:�KI?U ❑ l.I?AKGD U OPI?NF.U,\I' 1'SID <br /> PASSEI) U <br /> I�AILEI) � <br /> I'SID PSIU n� �=���`t'ti PS1D cHl:vn!�e PSIU <br /> :UR CAI' INSPLC'iION: SUPPLI' 1'll'� UTA\IL,7 CR SGI',\RAl'ION r.�s5�] PntL�_� <br /> DI•:1'ISCI'Olt \11:7TJt RI�ADIiV(: <br /> LGI-1'SI:R��ICI�S AS I�OU\U Isnl:Itinn vnhr: Upen �] Closed � .� SOVdL• Oprn [j Closrd ❑ SOVq2: Open [✓] Closrd i ] <br /> ItIip1ARK5: <br /> ( LING PRIi5tiU1tG �S PSI CONPI\GD SPACE? �'�� <br /> Tl•:STL•'It5 SIGN,\1't!Re: 1��„O� cLRI'.NO. B5134 nAT►, 11120I2015 <br /> r[sTrus n�naie riti��ro Da�id l�oy rssreiss ri�one r� (360)333-2057 <br /> REPAIRGD lil': LIC NO. DA'1'E <br /> PI\AL TGS7'IIY: CIiRT. NO. DATf�: <br /> GU.IRRAI'!ON DATIi 12d3-201J GAUCb:# 0'_120175 JIODEI. �lid���est N45 SF;ItVICIi NES7�ORED YfS � NO �] <br /> I ccrli(y lhal Ihis repoct is atturalc,and I haec u.cd l�'pC Nfi.240-1Y0 epprnecd lesl mclhads and Irst cquipmenl. I \ <br /> � �J <br />