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4677. CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner <br /> Job Address /06 / / 51 S Permit No. Li cp/e <br /> The refrigera ine / natural / LP / medical gas system (circle one) was tested at psi for a <br /> total of / min .1. <br /> WITNESSED BY Date /07/0 / <br /> tu:re o Occup-- -••-sting gas service) / <br /> INSTALLED BY �� Date r / / /6 <br /> Signature of inst. ng gas fuer) <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 LOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51-42-1108) <br /> Hard Copy—Job Site Pink Copy— Contractor White Copy— Inspector ,_213) <br />