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CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner s�/•`�f-e 7�'A'1SE�oL-17 <br /> Job Address �9a6 �C-%115 �'T' Permit No. �� //Z `d�7 <br /> � <br /> The refrigerant line / natural / LP/ medical gas system (circle one) was tested at � � psi for a <br /> -�— <br /> total of minutes. <br /> WITNESSED BY � ^ Date 3- ( a"OZ <br /> i ture ccupant r ues as s ice <br /> INSTALLED BY �. Date �_/Z, -OL <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 SYSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOR IEAK AT TEST PFESSURES NOT <br /> LESS THAN THE LOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR TESTINCa SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE.(WAC 51•42-1108) <br /> Hard Copy-Job Site Pink Copy-Contractor White Copy-Inspector <br />