Laserfiche WebLink
� <br />�� <br />CITY OF EVE�ETT <br />PIPING TEST AFFInA' <br />(�wner A d �, �� � � <br />JobAd�iress '��'��� Z-L�`�� � � ��� <br />...��`��i ..,.��`;'. <br />� �;`;� �'��� � � <br />� n �� <br />uN � ? 2� a � <br />J <br />-;, <br />�, � �� �_ ' nQ� � ,7. <br />:rmi�=Afo:� ��, <br />The refrigerant I ne / natural / LP / medical gas system (circle one) was tested at %(� psi for a <br />total of �� minutes. ,/, / <br />WITNESSED BY' ��t <br />�.C/��+� Date lv � � 2 � � <br />�i Jnat o�ccupant reyuesting gas serwce <br />INSTALLFD BY �D'� ,���,�„ Date 1� �� L- � cX� <br />u i <br />Please arrange for someone to be present on the date of requested inspection to provide access for <br />ih� inspection. <br />REFRIGERANT CONTAINING PARTS OF THE SYSTEM1I THAT IS fIELD ERECTED SHALL BE TF.STED FOR LEAK AT TEST PRESSURES NOT <br />L[SS THAN THE LOWER OF THE DESIGN FRESSURES 0V7 THE SETTING OF THE PRESSURE RELIEF DEVICES. THF. DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE USTED ON THE CONDENSWG UNIT OH COP.7PRESSOR UNIT NAMEPLATE. (WAC 51-42-1108) <br />�� <br />Hard Copy — Job Site Pink �opy — Contractor White Copy — Inspector „� ' <br />l <br />