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_ -- <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT .. <br />, <br />Owner _�/1I�� � �'�% 47N � <br />Job Address '' ��' E h A/ �V t Permit No. !l1 " d.2 /O —po2,S <br />The refrigerant lin natural LP / medical gas system (circle one) was tested at <br />total of Z-C� minytes, <br />WITNESSED BY <br />INSTALLED BY <br />Date <br />Date <br />2� psi for a <br />d-a S� 02 <br />Io— ZS—uZ <br />Please arrange for someone to be present on the date ot requested inspection to provide access for <br />the inspection. <br />REFRIGERANT'CONTAINING PqRTS 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 DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE, (Wqp S�.qp-� 70B) <br />Hard Copy — Job Site <br />Pink Copy — Contractor <br />White Copy— Inspector <br />� <br />