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,,: <br />Owner __--_.( J V- <br />Job Address 6 �� <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />The refrigerant line / natural / �/� <br />total of � minutes: � <br />p`�e . Permit No. <br />s� jm (circle one) was tested at /� psi for a <br />WITNESSED BY �-��-� J Date ���/6�U3 <br />�_- �g ur o o�cu ant requ�sting as service <br />INSTALLED BY Date ��G' �� �� <br />Piease arrange for someone to be present on the date of requested inspection to provide access for <br />the inspection. <br />REFRIGERANT CONTAINING PARTS OF THE SYSTEM THAT IS FIELD ERECTED SHALI 6E TESTED FOR LEAK AT TEST FRESSURES NOT <br />LESS THAN THE LOWER OF THE DESIGN FRESSURES OR THE SETTING OF THE PR[SSUR[ FiEL�EF �EVICES. THE �ESIGN PRESSURE <br />� FOR TESTING SHALL BE THOSE LISTED ON THE COND�NSING UNIT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51•42-1108) <br />Hard Copy - Job Site Pink Copy - Contractor White Copy - Inspector <br />