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CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />Owner ZbZ$ ttow- n r L-G <br />Job Address 'Zb'7-fi i4a�fiAv1? Permit No. An13ro-oz9 <br />The refrigerant line / natural / LP / medical gas system (circle one) was tested at Is psi for a <br />total of 30 minutes. <br />WITNESSED BY <br />INSTALLED BY <br />Date ILI -ti-i3 <br />Date tpLtf 13 <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 AT TEST PRESSURES NOT <br />LESS THAN THE LOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDFJSING UNIT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51.42.1108) <br />Hard Copy - Job Site Pink Copy - Contractor White Copy - Inspector - <br />r- <br />