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CITY OF EVERETT � <br />PIPING TEST AFFIDAVIT <br />Owner <br />�� •�• - � ' ' <br />..�.. „ , .. , r �•: � - <br />Thc refrigerant line / natural / LP / medical gas system (circle one) was tested at /,� psi (or a <br />total of ��o minutes. <br />WITNESSED BY Date <br />ign re o cupa t requ ing yas service <br />INSTALLEL' BY Date g� r�_I� <br />� r� l <br />Please arrange for someone to be present on the date of requested inspection to provide access for <br />the inspection. <br />REFRIGERANT GONTAINING PARTS CF THE SYSTEP.1 THAT IS FIELD ERECTED SHALL OE TESTED 'rOR LEAK AT TEST PRESSUR[S NOT <br />LESS THAN TH[ LOW ER OF THE DESIGN PRESSURES OP THE SETTING OF THE PRESSURE RELIEF OEVICES. THE DESIGN PRESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR CO�dPRESSOR UNIT NAMEPLATE. (WAC 51-12�1 tOB) <br />Hard Copy — Job Site <br />ink Copy — Contractor <br />White Copy — Inspector I <br />J <br />