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CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner �� � (Zt�- l_-� L7C.-� <br /> Job Address ���� � �� �r��� Permit No. �- <br /> �..17�`�Sl"C= ^� v�. F� �-�- --1� ���� �fora <br /> The r <br /> total of �J minutes.' <br /> WITNESSED BY U L � Date � L� �� _ <br /> ( ignat �o �ccu ant reque u,9 s service <br /> INSTALLED BY � � �,.,�� � � j Date ��r--� ���,'7 <br /> i u i i�i81IrAJ�jB i • r <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 FIEID ERECTED SHALL BE TESTEO FOR LEAK AT TEST PRESSURES NOT <br /> � L[SS THAN THE LOW ER OF THE DESIGN FRESSURES OR THE SETTING OF TNE PFESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSWG UNIT OR COMPRESSOR UNIT NAMEPLATE.(WAC 51�42-1108) � <br /> � Hard Copy —Job Sit? Pink Copy — Contractor White Copy— Inspector \ �J 1"/ <br /> �� <br />