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CITY OF EVERETT � <br /> PIFING TEST AFFIDAVIT <br /> Owner <br /> Job Address `� �5�� � `��"�`'� L �-�_ ��� ���•� Permit No. '`"` ���' "< < <br /> , M�30s c�t1- <br /> The refrigerant line / natural / LP / medical gas system (circle one) was tested at 15 psi for a <br /> total of ��-' minutes. <br /> WITNESSED BY � �2 �' Date �� � - �� <br /> ��ig o o cupant requesting �a service <br /> INSTALLED BY � Date S�s��3 <br /> a�fl� � ' <br /> � �� <br /> Please arrange for someone to be present on th� date of requested inspection to provide access for <br /> the inspection. <br /> REFRIGERANT CONTAINING PAFITS OF THE SYSTEM THAT IS FIELD ERECTED SHALI BE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> LESS THAN THE LOWER OF THE DESIG�'PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR TESTING SHALL dE THOSE LISTED ON THE CONDENSING UNIT OR r,OMPRES50R UNIT NAMEPIATE.(WAC 51-42-7708) <br /> aHard Copy- .lob Site Pink Copy-Contractor White Copy- Inspector <br /> \ <br />