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GCITY OF EVERETT `- <br /> PIPING TEST AFFIDAVIT <br /> . L �-- <br /> own�r ' � <br /> /� �-_ <br /> Job Address .5 i'U�.� �- ���� �1��=��C! iN L. Permit Na ��(��G� / �.� <br /> W A SrL= �t- V ��v;� � <br /> The r�+�era+�i-line /-�a#e�raf-�`tf'�` (circle one) was tesled at IU I�C��-for a <br /> totai of �� minutes. � <br /> WITNESSED BY�_, _ - -" � Date (� l�/ Grf <br /> ignature o occupant re sting as serv�ce • <br /> INSTALLED BY ' „qfi� �/��e ��,y� �j��3te _//-/f/-f� <br /> i u ' i , 7_,� <br /> r��r-,��P 5 <br /> Please arrange for someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> HFPHIGERANT CONTAINING PARTS OF THE SYSTE�1 THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> �.F56 l HAN THE LOWER OF THE DESIGN FRESSUR[S OR THE SETTING OP THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> POfi 1 ES11P:G SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAM11EPLATE.(WAC 51-42-1108) <br /> Hard Copy - Job Site Pink Copy - Contractor White Copy- Inspector <br />