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_ � � r�. <br /> _ _ - - --- - --- -- - . <br /> , <br /> �ITY OF EVERETT �� <br /> PIRING TEST AFFIDAVIT <br /> O�vner ���� ���'�� �/ <br /> Job Address �11�_�n� Permit No. j`�I U �—D�Jx <br /> 1 <br /> The refrigerant line / natural / LP / medical gas system (circle one) was tested at �psi for a <br /> total of �� minutes. <br /> WITNESSED BY � Date `Q�'1.7107 <br /> ignat re o occupant r questiny gas service <br /> INSTALLED BY s„� Date ���„�,S �O� <br /> 11� /`•Cc � /� —� 1:� i �t' t�-- <br /> Please arrange for someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> H[FRIGERANT CONTAINING PARTS OF THE SVSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOii LEAK AT TEST PRFSSURES NOT <br /> LESS THAN THE LOWER OF THE DESIGN PRESSURES GR THE SETfING OF THE PRESSURE RELIEF DEVICES. THE DESIG�J PRESSUPE <br /> � f"Of7 TESTING SHALL BE THOSE LISTEO ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPIATE.(WAC 51-42-1108) <br /> Hard Copy —Joh Sita Pink Copy— Contractor White Copy— Inspector <br />