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4M7r CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />owner%-IT«/MQ�4 (� �---� — <br />Job Address 305� �� £ �� V ` Permit No. ��%n�c, `1-0n <br />The refrigeran'Ine natural / P / medical gas system (circle one) was tested at 1_�_psi for a <br />total of I— min es. <br />WITNESSED BY — Date <br />gnat r an s service <br />INSTALLED B Date <br />,jo�V,ffl)Astaijng gas Truer) <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 LEAK AT TEST PRESSURES NOT <br />LESS THAN THE LOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51-32-1108) <br />Hard Copy — Job Site Pink Copy — Contractor White Copy — Inspector <br />