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;:�.. <br /> � x.,. <br /> �� <br /> � `� ., <br /> t �� x s: <br /> ;�� <br /> i `; <br /> t� � <br /> � � <br /> :s+ '�'�.: <br /> .r'` � <br /> 7x,`-. <br /> :., !�, <br /> '4 f. <br /> ��.� ti9 �y,.t� f, <br /> � � 4 �� .� <br /> ti�T � y �..f <br /> 1 . ��� *�., �l:'-v: <br /> . . r� �q i•. . <br /> 1 <br /> i.�'. <br /> - �....v�, --_ -;e!,-+.�.r.w..;.a.-� ..C^^T'^-T��ii�::-n w . . � �� <br /> _.. . -�n.�.�'IR..-- > . -x�r-'.�+�1T1�-�+—�—...� .. -a-1TAC1c9�RY'�, a. . .._. . . . . <br /> CITY OF EVERETT .� <br /> � <br /> PIPING TE�T AFFIDAVIT <br /> Owner `:. . ti � � . , <br /> Job Address 1 `��� `-==ri===------�- Permit No. �� � - �� �% <br /> �'V��-orJ : <br /> The refrigerant line / natural / LP/ medical gas system (circle one) was tested at r 5 psi for a <br /> total of •Y� minutes. � � <br /> i , � <br /> WITNESSED BY�j ��.:cj,.�/%��'�'.:� Date ��/ , ,�� � <br /> '—�ign`� ature o occupant requesting gas servi�— ' ' <br /> INSTALLED BY -' � ; ;'(��,�. ' Date � ,; .; ; <br /> _ <br /> Please arrange for someone to be present on the date of requested inspection to provide access for <br /> the inspection. t <br /> REFRIGERANT CONTAINING PARTS OF THE SYSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> LESS THAN THE LOW ER OF THE DESIGN PRESSURES OR THE SETiINO OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE.(WAC 51•42-7108) <br /> Hard Copy-Job Site Pink Copy-Contractor White Copy-Inspector � <br />