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j. <br /> � CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner ���-�-��'N � <br /> � <br /> Job Address � � � � I - I 5 AJ E S� Permit N � 0`�'�$,-�(s <br /> The refrigerant line natura LP/ medical gas system (circle one) was tested at �_psi for a <br /> total of _�_ minutes. <br /> WITNESSEDBY�'�,�.pW�q,U'��t���''~- Date �"�Z�� <br /> ��gnawre Toc`cupant requeshng yas serwce <br /> IIJSTALLED BY ._� Date <br /> i u i <br /> Please arranga ior someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> REFRIGERANT CONLIINWG P�f77S OF THE SYSiEA1 TH.1T IS Fl[LU ER[CTED SH�LL BE TESTED FOR LEAK Ai TEST PRESSURES NOT <br /> LESS THAN THE LOIti ER OF THE UESIGN PRESSUR[S Ofi THE SETTING OF THC:PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> � FOR TESTING SHALL BE TNOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE.(K'AC 51-42•1108) <br /> Hard Copy—Job Sile Pink Copy— Contractor White Copy-�Inspactor <br />