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CITY OF EVE��TT <br /> PIPING TEST AFFlDAVIT' <br /> Owner �� f� yJ�' L �I� <br /> Job Address �� /7�l/� Permit No. �-('�/// -�O� <br /> t,Jh�S1"� r�N1� Ut��tI1-5 <br /> The r � circle one) was tested at psi for a <br /> C> 'f�-TNcouc,ln � � foe� <br /> rotal of _j� minu W��� � <br /> NJITNESSED BY Date �O- ;D -O 6,� <br /> ig!��a,,tu,,yy��, occu ant req s-ser+�we <br /> Iv�TALLED 6Y _✓�;� Date �� 6 � �j <br /> i ur , u i � i — , <br /> Plcase arrange for someonc to be prasent on the �iate of requested inspection to provide access for <br /> th� inspection. <br /> IIFPRIGERANT CO':T��li�:l:G PAHI S OP I I iE- :1'�����i�_I.. ,.�./�I IS RELD ER'-C i'fU SH6LI_0[iESTED FOR LEl�K AT 1 EST PHESSURES NOT <br /> LESS THAN THE LO'.YER OP i HE DFSIGf�Pfi[:S,�.I:Ri_5 OR I�HE SE1 ilfvG OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> "� �-OR TESTING SHALL BE THp',E LISTED ON"fHE�GNDENSING UNI�OR COA7PFESSOR UNIT NAM11EPLAT-C(WAC 51-42-1108) <br /> Hard Copy - J�b 3ite Pink Copy – Contractor White Copy– Inspector <br />