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� <br />� <br />- - _-�-. .,.___ <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />Owner � �if� D.c.'NI�L�- <br />Job Addre s�.3z '�/ c�L�17 /�(� � Permit No. fi'�04�G'� ��%S�' <br />The refrigerant line / natural / LP / medical gas system (circle one) was tested at /,� psi for a <br />total of Z� minutes. <br />WITNESSED BY Date Z-- !7.-� fL. <br />r ccupantre es g se <br />WSTALLED BY Cate �_����[I/ <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 LOW ER OF THE DES�GN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51 •42•1108) <br />Hard Copy — Job Site Pink Copy — Contractor White Copy — Inspector <br />