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(Yl e��� ����. I <br /> CITY GF EVERETT - � <br /> PIPING TEST AFFIDAVIT � J�P ��Ja�� � <br /> SWll� e ���ts <br /> Owner / / �J /� <br /> ��/�rP-f�- Fr!Zt> �lGur-l�f�)2S �5�.4 5-i y -u� <br /> Job Address ����� /7��v�� n-�L� — Permit No. �CD(o��—O�- <br /> The reirigerant lin / natural l�LP / medical gas system (circie one) was tested al �psi for a <br /> total oi �� minutes i <br /> WITNFSSED [3Y � j, . Date S�z3�o J <br /> ur . o cup t r quesung gas service <br /> INSTALLED BY � (� � � Date �z �, <br /> � ur- i7T�it u i <br /> Please arrange tor someone to be present on tlie date o( requested inspection to provide access for <br /> the inspection. <br /> REFRIGERANT CONTAINING PARTS OF THE SVSTEM THAT IS FIELD ERGCTEG SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> l.[SS TfiAN THE LOW ER OF THE DESIGN Ff�ESSUHES OR THE SETTING OF THE PRESSURE REL�EF DEVICES. THE DESIGN PRESSURE <br /> FOSi 1 L'STING SHALL BE THOSE LISTED ON TH[CONDENSING UNIT OR COh7PRESSOR UNIT NAMEPLATE.(WAC 51-42•1108) <br /> Hard Copy -.1ob Site Pink Copy - Contractor White Copy - Inspector \ <br />