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� <br />CITY OF EVERETT <br />PIPING TE�T AFFIDAVIT <br />Owner �h�'rJ''e � ` <br />Job Address � 3�� ��(i51'� � Permit No. ���J"i�(% <br />��J AST� �-v�-,urs <br />The,CE(L�Pr^nt lina / nat� �r�i r i o �-��-�- _�, �,as-sys#err�-fc�rcle one) was tested at _s�psi for a <br />loial of �_ minutes. �� ��'��' �--��E–' �i''`q � `��-'� r�'�. <br />WITNESSED BY �r,�i� l�n„c�.� ���-�t���,� Date �u –_i– ps <br />��ig�e �ture o occupan requesung gas service <br />INSTALLED BY „�� Date G– 3�'oS <br />— �, � �u�arrta �� � ,� � <br />Please arrange for someone to be present on the date of reqiiested inspection to provide access for <br />the inspection. <br />REFRIGERANT CONTAINING PARTS OF THE SYSTEM1I THAT IS FlELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRFSSURES NOT <br />LESS THAN THE LOW ER OF THE DESIGN FRESSURES OR THE SETTING OF THE PNESSURE RELIEf DEVICES. Thlc UESIGN PR:-SSURE <br />i� FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UMT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51-42�1108) <br />(��,1 <br />N`� Hard Copy — Job Site Pink Copy — Contractor White Copy — Inspector <br />