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CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />Owner �� �l�Fs� E✓eyr ft !"!Nil L..L_ C <br />Job Address E Ele d Anil Wti1 Permit No. 2017dT 3i <br />The refrigerant line / natural / LP / medical gas system (circle one) was tested at /-3 psi for a <br />total of Y� -minutes. <br />WITNESSED BY Date Ocr 7, ico5 <br />I i o oc�upgntq ting g service <br />INSTALLED BY �_1 p'�// Date <br />Please arrange for someone to be present on the date of requested inspectioLjo provide access for <br />the inspection. <br />REFRIGERANT CONTAINING PARTS OF THE SYSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br />LESS THAN THE LOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE LESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51.42-1108) Ir) <br />Hard Copy — Job Site Pink Copy — Contractor White Copy — Inspector L <br />