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CITY OF EVERETT <br /> PIPING TEST AFFI�AViT � <br /> owner `�d17T (7� L�/�2��"T T-- <br /> Job Address ����n �t.� /�' ��I(� - �L/ 1�7,c J Permit No. � �7[Zy-�� <br /> The refrigerant line natural / LP / medical gas system (circle one) was tested at �_psi for a <br /> tOtal of �_ aal��'r� . <br /> WITNESSED BY �,;{ �/�,�G S:-. T/.zo.G�-e% Date 723•07 <br /> gnature o occa ant requesting gas sernce <br /> INSTALLEDBY ,i., ;=� Date �- -' 3,_��`� <br /> J � <br /> Please arrange for someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> REFRIGERANT CONTAINING PARTS OF THE SYSTEAI TH�T IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NUT <br /> LESS THAN ThiE LOWER OF THE DESIGN PRESSUFES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPqESSOR UNIT NAMEPLATE.(WAC 51-42•1108) <br /> Hard Copy-Job Site Pink Copy-Contractor UJhite Copy- Inspector <br /> � ° "" �� �❑�❑❑ o �Ll mC]❑�❑�❑❑❑m (n <br /> � N ...-r ( • _ <br /> j � �. .:� l: � . ,- .� �% � � O C 0 � D � p T � m � 'f� � p N � N (rfl � <br /> � n �+ . .� l- �� . >.� �.� (' D Z T. T. v fn o g m � _. � 2 c Q o 3 O D <br /> -� o -.. . � �' j_' r m �I T D 9 a � `L � � o Fi� n � L � a <br /> �i� ��. :�: � ! _ ^� � r- O O � O ic O S a m o n N � O. <br /> _ i �f' -, .J .V i m � a � d. a � m � S So f � ct <br /> - � � a- •^ �'� - : ( ' �, � NOpO � O ''a �. x ? n� nF �. � N ,\ <br /> ,� ... t 1 m v ' p y d I +r. , � <br /> -. �; _ � `} v tn L �-. <br /> i �l"� .. ��- �' � _ �.,� m �T -rl i\ ~1 <br /> �,i�. .�� �� '�) { � Vy 1 � <br /> �, .. �i _ ,. -� i,; o � o ❑❑Ci❑L7�❑❑G❑�� I� O' � o � <br /> L, ;.� ., r . � az�� mn � � oy � a, o o cc i�J � �o w � <br /> � f 'a � 9tn < Cl � �!� ' _ g u � ° 3 n � o m0 I 7 '`� � N <br /> (' �� �,P, �- - m � - Oa O� � ' � m a m�o' Az v C� m y ,` �ea <br /> . . L •. ./f� _' L .'i r� �� � T.i N y � 9 -� I 10 G'1 d d Z � � ?� O �O G1 fil I " ` 1 � O �i;`1 00 <br /> I (� 1 <br /> .. '�.; : i ' l`� '� • 1 fi � 'a p � n � I\. T n� � °1 N ° � � (L� � <br /> � r !�") " .tv _�) f �� �i mt� ZOo 'D `� � � `n Q a z y�`� Il I�: <br /> L �•,i ,J _� _! ��� Z� a O j�� m I��`, �, � '� <br /> ^ ;l •� � / • �'� � N I Q < � � � \ J � �� � <br /> ' � r �h � �/ � / `- � ol c � IUl �J❑❑� �❑U❑❑�� � � <br /> , '�� f, l.. � : r A� � � � � ao � aO � oG� � z �� � � <br /> ' r� � '� � I� �^ � v'�� � m g °.ia':_ ? D m i ti <br /> � � �q <br /> lO �/ ._' ~ - �i�` o � � v � u � m �r C � G� � a n �c !� % du <br /> m . . . r'' ' .. Q <br /> � � �� '� � � F� � � � } �� °i n � D V) (�� ) � � �� ,'. ��q <br /> !? -A�' )' '-`, v � ' �_ � I T n y 2 �l�' N N � m � \ �� I � Y <br /> �f z (\1 � � o � � �. <br /> � l(v �. r � � a � '��� � <br /> F �� � � �`� � � n j �� <br /> �' � �' ,,� !,. �: =; ��•` � a A ❑❑� �o❑oa❑❑� �� �1 �, ��(�� � <br /> _ _' � .� _ <br /> �J 1 '� �'� I � = o � B � a � m o � C �. 'i \) <br /> '\' � I c � - c o �� '� <br /> l,, .� :�.� '•i D �ed 3 � mo5ioci <br /> =�) :� ..- r � T � � c � N �� � a Z �. <br /> : � '� � 1 � � d ' G � az - a ' � � /�� <br /> � I' _; 1. ,) � N I � T m n c' F • \, \ <br /> �` �r �, m � 'r 3 m m � <br /> �� �� . . , . �3 � � ���� ��/ <br /> � � � <br /> � � � � � <br />