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CITY OF EVERETT <br /> PIPING TES'T AFFIDAl�!T <br /> Owner _���c-1 ec �� _ <br /> Job Address 133D LoMlo��d �ve. `1820( Permit No. Y'1 I y �I - ��q <br /> The re(rigerant line / natural / LP / medical gas system (circle one) was tested at (S psi for a <br /> total of __� D minu s. <br /> WITNESSED BY � , � Date � - q -2�I y <br /> � gnatur o cupant requesUng gas service <br /> INSTALLEDBY _��r�����./���� Date �- 9 -ZOly <br /> �t� r 'f�� i � i rA7�-- <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�E TESTED FOR LEAK AT TEST PRESSURES NOT <br /> LE55 THAN THE LOW ER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEV��ES. THE DESIGN PRESSURE <br /> FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPL�ITE. (WAC 51-42-1108) <br /> Hard Copy- Job Site Pink Copy - Coniractor White Copy - Inspector <br />