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CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner <br /> Job Address d r �- Permit No. �n302 '- O(� <br /> �— <br /> The refrigerant lin natural / P / medical gas system (circle one) was tested at �� psi for a <br /> total of �� minutes. <br /> WITNESSED BY �� • �: Date ������� <br /> ature o occupant r uesting gas ice ���• , _ \� <br /> INSTALLED BY � Date `� � <br /> Please arrange for someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> REFRIGERANT CONTAINING PAFTS 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 SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR Tf•,TING 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 />