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Owner �LL � <br />Job Address %��-� <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />/N, <br />Cr <br />Permit No. i��v1-%��c� — D I % <br />E� t=' D �IID' [;o � <br />,A-A�i;T71� Si pc .� ��-JE�2 <br />The re�ge�a�-hr�e / la�iu+a�-f-' "�R;ea+-gas system (circle one) was tested at �, S psi for a <br />toial of 5 minutes. P�� '�yD/-'v �7�J 17c� ��'��'� TE�,T ArvJ7 PE_rt Co� DEi�s-�C.S <br />bo/,doi� 6D!�- <br />WITNESSED BY �- �j,S/j� , �•-, :_. J Date � - i�5 - .3-oi D <br />�� — <br />INSTALLED BY <br />.1_. �r' �11C � i � � C: Date <br />� <br />s�/S' � �C"i/G` <br />We2sc�.auange-}Qr-so+nenoelo be-E�resent-o��-the-deEe-ef-req�ested-inspectiar�-to-�r�ride-acsess-for— <br />21�e1as}�eetion. <br />REFfttBEftRl�ifLOT�TTINMG P.1RTS - •. � IS FlELD ER[CTED SHALL BE TESTED FOR IEAK AT TEST_PSES$UFES NOT <br />LESS THAN TH�,QINEA OF-TH6�DFSIGN�FRESSURES-OA7FiE 5 T �- - ECIEFDEVICES THE DESIGN PRESSURE <br />FOR'fESTIF G SHALL BE TNOSE LISTE� ON THE CONDENSING UMT OR COAIP�ESSOR UNIT NA 8 _ <br />Hard Copy — Job Sit? Pink Copy — Contractor White Copy — Inspector <br />