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V' 4arrr <br />CITY OF EVERETT <br />PIPING TEST" AFFIDAVIT <br />Owner <br />Permit No. <br />Job Address <br />The refrigerant line / <br />total of _/ "), . rr' <br />WITNESSED BY _A <br />INSTALLED BY <br />ne - o-- y <br />/ medical gas system (circle one) was tested at 1 } psi for a <br />Date <br />Date <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 SYSTEM THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br />LESS THAN THE OF THE DESIGN PRESSURES OR THE FOR FSTING SHAOLL BE THOSE LASTED ON TSETTING RELIEF <br />HE CONDENSING UNIT COMPRESSOR UNIT NAMEPLATE, (WAC 51-442 1108) PRE: SURE <br />Hard Copy —Job Site <br />Pink Copy - Contractor White Copy — Inspector <br />