Laserfiche WebLink
CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner ,/� j� <br /> ���G= 7�s��9GC� <br /> Job Address � / �� L n��N �� ��b� Permit No. / � '��� ���"'s'' <br /> vJ� <br /> The refrigerant line natur / LP / medical gas system (circle one) was tested at ��_p�i for a <br /> total oi � minu es. <br /> WITNESSED BY � / Date 2 -J� �� <br /> tyn Ure o o �p reque gas service / � <br /> INSTALLED BY � C � Date �— J`✓ / �{ <br /> i <br /> GW,� �s � �es�.� �� -v—ss � <br /> Please arrange for someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> R[FRIGERANT CONTAINING PARTS OF TI1E SYSTEM TFiAT IS FIELO[RECTED SHALI 8E TESTED FOii LEAK AT TEST PRESSURES NOT <br /> LESS THAN THC LOW ER OF TI IE DESIGN FRESSUI7[S OR TIiE SETTING Or THE PRESSURE REUEF DEVICES. THE DESIGN PRESSURE <br /> . FOR TESTING SHALL BE THOSE LIST[D ON THE CONDENSING UNR Of�COMPRESSOR UNIT NAMEPIAT[. (WAC 51-A2�1108) <br /> • Hard Copy - Job Sit�: Pink Copy - Contractor White Copy - Inspector �v <br />