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GITY OF EVERETT <br /> PIPING TEST AFFIDAVIT ' <br /> O��ner �n ► � <br /> Job Address �]�D�'�Q����� permit No. n�d90�-�Jt.� <br /> The refrigerant line/ natural / LP/ medical gas system (circle one) was tested at �psi for a <br /> total of� minutes. <br /> WITNESSED BY L.�-pw � � Date 8 31 p <br /> ignature o occ pa equ Lng gas serwce <br /> INSTALLED BY ( Date ���f dCI <br /> � �r� — <br /> Flease arrange for somecne to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> REFRIGERANT CONTAINING PARTS OF 1�HE SYSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST?RESSURES NOT <br /> LESS T!1AN THE LOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR'��cSTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE.(WAC 51•42-i 108) <br /> Hard Copy– Job Site Pink Copy– Contractor White Copy– Inspector � .7j; ' <br />