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GITY OF EVERETT <br /> �,�.(� PIPING TEST AFFIDAVIT <br /> Owner __ �JI`�'C-A �� C l� � L d�(� J L % �'��`/���� <br /> Job Address �0 � b 5� � � � _ Permit N�'� �// <br /> ! � �-��� ��� � � <br /> i <br /> The"�e�ige�ant-iine-f-nat�ral-f-LP7 medi t gassysc��{eirele-or�ej was-kested-at �_psi for a <br /> total of �U minutes. <br /> ; WITNESSED BY Date __ <br /> —�$i z' r . o occupant requesung gas service <br /> �. <br /> INSTFlLLED BY �,� j� j�,�; y ��, �I ��-�;pate <br /> � ,iii/'i�ii:i,lliisl�fiiSij�1[1?-(i!li�i� <br /> i i <br /> .� <br /> Plea�e arrange for som�ori�� lo be present on the date of requested inspection to provide access for <br /> ihe inspectian. <br /> R[FRIGERANT CONTAINING PARTS OF THt SYS;"EM THAT IS FIELD ER[CTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> LESS THAN THE LOWER OF THE DESIGN FRESSUI7ES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COA4PRESSOR UNIT NAI.IEPLAI E. (WAC 51-4:-1108) <br /> �,� <br /> I aarzl C��p�� — J�b Site Pir.k Cop�� — Contractor White Copy — Inspector ,�� <br /> � <br />