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CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner lUbYdSL-� _ <br /> Job Address ��___C_�n����L��V��� Permit No. /���� �� <br /> Tlie refrigerant line / naiural / LP/ medical gas sysiem (circle one) was tested at �psi for a <br /> total of �_GTi ut� �— �\ � <br /> WITNESSED BY ,� � \��� —�� Date c% '. I �"� — �� <br /> -.� � <br /> i ure��r,` requesung gas service � <br /> INSTALLED BY /�/��,�_ �� � Date �' i.'• � - � 4 <br /> t�yTSfilOY�'aTiP55 ii S7i['� <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 SYSTEht THAT IS FIELD ERECTED SHALL�E TESTED FOR LEAK AT TEST PRESSUFiES NOT <br /> L[SS THAN THE LOWER OF THE DESIGN PRESSURES OR THE S[TTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> � FOR T[STING SHALL BE THOSE USTED ON THE CONDENSING U�:�i OR COMPRESSOR UNIT NAMEPLATE.(WAJ 51•42-1108) 1 <br /> Hard Copy—Job Site Pink Copy— Contractor White Copy— Inspector ?�\` / <br />