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CITY OF EVERETT � <br /> �iw�� <br /> � PIPING TEST AFFiDAVIT <br /> Owne; �V t� �' ,�l��(� <br /> Job Address � `C�` /` �� � �� t l� Permit No. , � ": '1C ��' Cf � Z <br /> � <br /> The refrigerant line /�atural / LP/ medical gas system (circle one) was tested at f�psi for a <br /> total of 2 C mi " s. , � <br /> WITN�SSED Y ' � Date /C) Z �'� <br /> na re o cc rey esti g , s se ice <br /> INSTALLED B " � -Date � � d' <br /> � u � u � i <br /> Please arrange (or someone to be present on the date of requested inspection to provide access for <br /> the inspection. <br /> REPRIGERANT CONTAINING PARTS OF THE SYSTEM THAT IS FIELD EFECTED SNALL BE TESTE�FOR LEAK AT TEST PRESSURES NOT <br /> LESS THAN THE LO�VER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> POR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE.(WAC 51-42•1708) <br /> Hard Copy-Job Site Pink Copy- Contractor White Copy- Inspector <br /> , <br /> *i&�:u r, <br />