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(����� CITY OF EVERETT <br /> F #'' PIPING TEST AFFIDAVIT <br /> Owner ��C;/'� s�----- . <br /> /, , , . �'1�G�03 -os� <br /> Job Address ��� !�/� - � Permit No. <br /> �I-17�2, �- �Je��vT Sy�ST�n�1 ' �la� <br /> The r / _ , (circle one) was tesled at �� H �f6r a <br /> total of 1 S minutes. J � /_ n <br /> \NITNESSED BY =�� -�--"%'' Date — 2-"t—��c _ <br /> (Si�nature o c�f ccup requesting gas sCrwce „ / <br /> INSIALLEDBY �-- —� , Date :��— ��� Ul., <br /> �—TSi,�i --1�TuPLrdi'Rti�t31 i i t�7J�``- — <br /> Please arranye for someone to be present on the date of reyuested inspection lo provide access for <br /> th� inspection. <br /> i+.6PRIGERANT CONTAINING PAHTS OF THE SYSiEM THAT IS RELD ERECTED SHALL BE TESTED FOP LEAK AT TEST PRESSURES NOT <br /> ! i:SS THAN THE LOWER OF THE UESIGN PR[SSUHES OR THE SETTING OF THE PFESSURE RELIEF�EVICES. THE DESIGN PflESSURE <br /> � 1'OR T[STING SHALL bE THOSE LISTED ON THE CONDENSING UNIT Ofi COI.IPHESSOR UNIT IJAMEPUIT[. �WAC 51-d2�1108) <br /> Hard Copy — Job Site Pink Copy—Coniracror White Copy— Inspector <br />