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C17Y OF EVERETT <br /> PIPIN� �EST AFFIDAVIT �� <br /> Owner ��s <br /> � <br /> Job Address y �� ��n �� Permit No. Mn I �� ��Z7 <br /> The refrigerant line [ natural, LP / medical gas system (circle one) was tested at �Q psi for a <br /> total of �_ minutes. <br /> WITNESSED BY� /l,� Date g—�(� -� <br /> ign� � �ccup�nt reque t+r�g gas service <br /> INSTALLED QY � ! -_ !t__, - Date L? ,� �„ �� <br /> �i ~ui� a�� � i i s i <br /> Please arrange for sorneone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> REFHIGEFAr�T CONTAINING PARTS OF THE SYSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> LGSS TIiAN THE LOWER OF THE DESIGN PRESSURES OR THE SE171NG OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> ' fOR TESTING SfiALL[3E THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOFi UNIT NAMEPLATE.(WAC 57-42-7108) <br /> Hard Copy- Job Site Pink Copy- Contractor White Copy- inspector <br />