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CITY OF EVERETT �/��� r � ��� <br /> , ��= /=r�/`i L <br /> PIPING TEST AFFIDAVIT 7- ,q��� �-� ���,�,�� � <br /> Owner /�, <br /> �cJL�� � rT ' <br /> Job Address '�-�'t� ��N�� �A� Permit No. C, n ��Z -�� Y' <br /> The refrigerant line / natural LP medical gas syste ircle one) was tested at /� psi for a <br /> iotal of 2� minutes. <br /> WITNESSED BY li��' �- 1 -�" ' � Date � ,-�?e� ��"j <br /> ignaturc upan equ sh g gas service <br /> INSTALLED BY ` Date �" �'7` P j <br /> i � arilsl• u 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 SYSTEh1 THAT IS FIELD EP.ECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> LESS THAN THE LOWER OF THE DESIGN PRESSURES OR THE SE771NG OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR T[STING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COA1PRESSOP UNIT NAMEPIATE.(WAC 51-42-7108) <br /> Hard Copy- Job Site Pink Copy - Contractor White Copy- inspector <br />