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; <br /> CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner � l � 16 2.3� �� �LL' <br /> Job Address � a '�����N Permit No. � ���d�"'�•� <br /> The refrigerant line/ natural / LP/ medical gas system (circle one) was tested at �� psi for a <br /> total of�� minutes <br /> WITNESSED BY p �y. Date 1� � 4'/ <br /> ign e o occup requesling gas service <br /> INSTALLED BY Date �i . �� <br /> —� �"�stamrtp-�ss7rtt <br /> Please arrange for someone to be present on the date of requested inspection to provide access for <br /> ' the inspection. <br /> REFFIGERANT CONTAINING PARTS OF THE SYSTEM THAT IS FIELD ERECTED SMALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br /> LESS THAN THE LOWER OF THE DESIGN PRESSURES OR THE SETTING OF THE PRESSURE REUEF DEVICES. THE DESION PRESSURE <br /> FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSINQ UNIT OR COMPRESSOR UNR NAMEPLATE.(WAC 51-42•1108) <br /> Hard Copy–Job Site Pink Copy–Contractor White Copy–Inspector <br />