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� CITY Q!� EVERETT <br /> PIPING TEST AFFIDAVIT <br /> C`�vner Sak� � �/t�ti S �'f'�-.�P.� <br /> JobAddress __� �// � C,���D� PermitNa �� �C1���—C��� <br /> The reirigerant li e / natural / �P / medic�l yas syslem (circle one) was tested at �� psi for a <br /> total o( �S_ minu � <br /> WITNESSED BY �� �_ _ Date `; �.��; I �L I C <br /> igp�tUre o o cupbnt iequesting g�ts service) <br /> INSTALLED BY ' ` �. Date Sr�,; � � ,Lj� <br /> � �, iPSSifiitiiS�Ztd9- i � � <br /> Please arrange for someone to be present on the date o( requested inspection to provide access for <br /> the inspection. <br /> REFHIGERANT CONThIP.'ING PA(775 Of THE 5}'y7�1,11!L�7 I;i 1-1ELD EqECT[D SHALL�E TESTED rOR LEAK AT TEST PflESSURES NOT <br /> LESS THAN TH[LOWEf?UF THF D[SIGN PRESSURE'S OR iHE SEi�TING OF THF PRESSUPE RELIEF DEVICES. THE�ESIGN PRESSURE <br /> � FOH T[STING SHALI U[ TNOSG LISTED ON TH[COND[NSNG UNIT OR C061PRESSOR UNIT NA1dEPLATE. (WAC 51-42-1108) <br /> � Hard Copy—Job Site Pink Copy — Contractor White Copy— Inspector ' <br />