Laserfiche WebLink
� <br />Owner ___(�'� �"� <br />CITY QF EVERETl' <br />PIPiNG TEST AFFIDAVIT <br />Job Address ��{� J L- �- ���, Permit No. ��1 o jn 7' �'l � <br />, Tf�e refrigerant line i natural / LP / medical gas system (circle one) was tested at �O o rpsi for a <br />total oi c�z � s minutes. '- <br />WITNESSED BY Date 7- Z(p- �~� <br />t re o occupa q ting gas service <br />INSTALLED BY -r - Date �_��-- o � <br />��� u�srz�T �� � n� � <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 LEAI( AT TEST PRESSURES NOT <br />LESS THAN THE LOW ER OF THE DESIGN FRESSURES OR THE SETTING OF THE PRESSURE RELIEF DFVICES. THE DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAAIEPLATG (WAC 51-42�1108) <br />Hc�rd Copy - Job Site Pink Copy - Contractor White Copy - Inspector <br />