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Owner �"' <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />JobAddress l�a� �N. %�(f(�ll�� ��111� PermitNo. l�d�I�—D�� <br />The refrigerant line / natural LP / medical gas system (circle one) was tested at �.� psi for a <br />total of �� <br />WITNESSED Bl' <br />INSTALLED BY <br />Date <br />Date � �� <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 SVSTEM TIiAT IS FIELD EfiECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br />LESS THAN THE LOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THF CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51-42•1108) <br />Hard Copy — Job Site Pink Copy — Contractor White Copy — Inspector <br />