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��,��_ <br />� � �;� � <br />�.. ,,. <br />� � <br />r� .��x a <br />:r � •�+° i <br />,� � �. <br />:y� <br />� `d <br />��� 1 F Y <br />� z t �f �*� ;r <br />e �:> �' � r "� d <br />q kt� `_ p� �.y� "b �}.�b. 1�. N <br />A.' , . <br />� �*" n ' � ��� . <br />.�.yi''�' ' •f� J , iy �j.' y "� : � � . <br />y.Ys�'. - '4 : . p .. . C� � <br />..+��i.. t� i° F ' a? ei!��.::�. <br />.._ '�:t' �`��f. , fi, ..) Av, :�[ ���:r��� <br />Owner '�'4' � <br />Job Address GZ� �" <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />�� . <br />Permit No. �7t� �/ � -��1 <br />The refrigerant line / natural / LP / medical gas system (circle one) was tested at <br />total of Z G_ mioutes. .. <br />�+ �, �� <br />. � <br />WITNESSED B' <br />INSTALLED BY <br />�ate <br />�ate <br />�� <br />_psi for a <br />Please 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 FIEL� ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br />LESS THAN THE LOW ER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF �7EVICES. THE DESIGN PRESSURE <br />FOR TESTING SHALI. BE THOSE LISTED ON THE COND[NSING UNIT OF COMPRESSOR UNIT NAMEPLATE. (WAC 51•42-1108) <br />Hard Copy - Job Site <br />.: . <.d, � "; <br />Pink Copy - Contractor White Copy - Inspector <br />0 <br />M <br />