Laserfiche WebLink
Owner �"' <br />Job Address <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />5 '1 �' �� ti� �.' i v1 �-' <br />The retriyerant line natur / LP / medical <br />toial of � minutes. /� /J- <br />WITNESSED BY <br />INSTALLED BY <br />L'T,�C� Permit No. � ��C' �•-C'�2 � <br />system (circle one) was tested at �� psi for a <br />gas <br />Date / 3 �� <br />Date . �1 <br />Please arranye for someone to be present on the date of requested inspection to provide access for <br />the inspection. <br />REFRIGERAN7 CONTAINING PARTS OF THE SYSTEAI THAT IS fIELD ERCCT[D SHALL BE TESTED FOR LEAK AT TEST PFESSURES NOT <br />LE55 THAN THE LOWER OF TfiE DESIGN PRESSURES OR THE SF-.TTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LIST[D ON THE CONDENSING UNIT OR COIdPRESSOR UNIT NAh1EPLATE. �WAC 57�421108) <br />� Hard Copy — Job Site Pink Copy — Contracter White Copy — Inspector <br />� <br />