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� <br />� <br />Owner � C <br />Job Address <br />CITY QF EVERETT <br />PIPING TEST AFFIDAVIT <br />Permit No. /� i7 s��—v0� <br />The refrigerant line / natural / LP ! medical gas system (circle one) was tested at �psi for a <br />total of � minutes. <br />WITNESSED BY <br />INSl ALLED BY <br />Uate <br />Date <br />/ /S a � <br />�i,s� � <br />Piease 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 FRESSURES OR THE SETTING OF THE PRESSUAE RELIEF DEVICES. THE DESIGN r'RESSURE <br />FOR TESTING SHALL BE THOSE LISTED ON THE CONDENSING UNIT OR COMPRESSOR UNIT NAM;:PLATE. (WAC 51-42�1108) <br />Hard Copy — Job Site Pink Copy — Contractor White Copy — Inspector <br />� <br />