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� <br />� <br />Owner <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />Job Address �� 3d �.oi,J P.�,, IC L..) �uert.'�-'� Permit No. I�V30�—d�(j <br />The reirigerant line / natural / LP ! medical gas system (circle one) was tested at <br />total of .� minute�. �7 <br />WITNESSED <br />INSTALLEDI <br />Date <br />Date <br />�psi for a <br />$- S-� <br />�-S-o3 <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 AY TEST PRESSURES NOT <br />LESS THAN THE ! OWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE REL�EF DEVICES. THE DESIGN PRESSURE <br />FOR TESTINu �t1ALL BE THOSE LISTED ON THE CONDENSING UNI�� OR COMPRESSOR UNIT NAMEPLATE. (WAC 51-42-1108) <br />Hard Copy — Job Site Pink Copy — Contractor White Copy — Inspector <br />