Laserfiche WebLink
CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />Owner _�� GS ����f��- --------- <br />Job Address �_s�a� IV�YL�(/(� Perrnit No <br />CI o� - ��3 <br />The refrigerant line / natura , LP ' medical gas system (circle one) was tested at /j psi (or a <br />tolal o( Q� <br />WITNESSED BY <br />INSTALLED BY <br />Date ��'" /lo i <br />Date � iG � <br />Please arrange tor someone to be present on the date of requested inspection to provide access for <br />ihe inspection. <br />(iE-FRIGFRANT CONTAiNING PARTS OF THE SYSTE'.1 THAT IS FIELD ERECiED SHALL BE TEST[D FOR LEAK AT TEST PRESSURES NOT <br />LE55 THAN THE LOWER OF THE �ESIGIJ PRESSUP[5 OR THE SETTING OP THE PRESSURE RELIEF �EVICES. THE DESIGN PRESSURE <br />FOR TESTING SHALL 0[ THOSE UST[D ON THE CONDENSING UNIT OR COt.1PRESSOR UNIT NAM1IEPLATE �WAC 51-42�t 1081 <br />Hard Copy - Job Site <br />Pink Copy - Contractor <br />White Copy - Inspector �I� <br />