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� <br /> � <br /> CITY �0F EVERETT <br /> PIPING TEST AFFIDAUIT <br /> Owner �o��a''�' V�w�v�u � <br /> Job Address � h � � � � ��� Permit No. ��b !% G � a5 6 <br /> The refriger�rt line natural P / medical gas system (circle one) was tested at �psi for a <br /> total of� minutes. <br /> > <br /> WITNESSED BY �y' ' � � Date //—/� — O� <br /> �SigrtSture o occupant request�gas sernce <br /> INSTALLED BY � � ��z Date /l'�G -0/ <br /> �rs-artrssta7rrts�g <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 EFECTED 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 PPESSURE <br /> FOR TES71Nr,SHALL BE THOSE LISI cD ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE.(WAC 51•a2•�108) <br /> Hard Copy—Job Site Pink Copy—Contractor White Copy— Inspector <br />