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� CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner �J <br /> Job Address Permit No. lr�J !✓J —�� I <br /> �J.)F1ST�� l�N Q V e�'1'T S W�R� 'Tti.'""�T�D "�T� l-i-l ci 1��e5-1- L�Je.( <br /> ' ' s�qstem-(eirele-ene}was Ees#ed-at psi f^r a <br /> �-t�eia7T�Ssl �i�� '�vrL 15 N1��v. <br /> WITNESSED BY Date Z <br /> ig awre� ant reques�ing gas service � <br /> INSTALLED BY ^��f „�y� Date � <br /> � <br /> �e.Z`SC'_. ��e.�v� lx.>,r�Si-� Pc2�r} �X�p�!_ �02 <br /> �Pleaetarrange fo� someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> R[FRIGERANT CONTAINING PARTS UF THE SVSTEM THAT IS FIELD ERECTE�SHALL BE TESTED FOR LEAK AT TE�T PRESSURGS IJOT <br /> LESS THAN THE LOWER OF THE DESIGN PRESSUPES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRGSSURE <br /> FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPfAT[.(WAC 51•42-ll0�) <br /> Hard Copy—Job Site Pink Copy—Contractor White Copy— Inspector , <br />