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CITY OF EVERETT <br /> PIPING TEST AFFIDA�,41T <br /> Owner (� �,�_C� .__ �/ 7�/ �J��l _ _ — <br /> Job Address 2 � <br /> —��—�—���2 LL _ Permit No.' �C '6 <br /> The refri rant line / natural / LP / medical gas system (circle one) was tested at �D D psi for a <br /> total of �� minutes. <br /> VVITNESSED BY Date <br /> ignature o occupan� requeshng gas serwce — <br /> INSTALLED BY �, _� �T��',�i- _ Date � Z - l Z. - / ' <br /> _'�9�sa�arr ��i�nr�r�— ' <br /> Please arrange for someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> FIEFRIGERANT CONTAINIfJG PARTS OF THE SYSTEM17 iHAT IS FlELD[FECTED SHALL RE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> LE55 THAN THE IOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE P9ESSURE RELIEF DEVICES. THE�ESIGN PqESSUHE <br /> FOR TES7ING SHALL 0E THOSE US7ED ON 7HE CONDENSING UNIT OR C01�tPRESSOR UNIT NAMEPLATE (WAC 51�a2-11p8) <br /> Hard Copy-Job Site Pink Copy - Contractor White Copy - Inspector <br />