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� <br />Owner �— <br />Job Address h "� � <br />CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />2 /Y <br />C Permit No.�%i') O// 2���0 <br />The refrigerant line / natural / LP ! medical gas system (circle one) was tested at <br />total of /� mi utes <br />/� psi for a <br />WITNESSED BY Date %Z- I v�D 1 <br />i a ure o o p reques gas service �� `/� <br />INSTALLED BY — Date � � �o� <br />., S' S n"? <br />Please arrange for someone to be present on the date of requested inspection to provide access for <br />the inspection. <br />REFRIGERANT CONTAINING PAfiTS OF THE SYSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br />LESS THAN THE IOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RF.LIEF DEVICES. TFIE DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51d2-1108) <br />� Hard Copy — Job Site Pink Copy — Contractor White Copy — Inspector <br />