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CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />Owner 7(% V-)D : �T fi ✓✓� rN' <br />, <br />Job Address '7c 1 - 7� h �% . Permit No. L 703--04.t <br />The refrigerant line / atural / LP / medical gas system (circle one) was tested at <br />total of minutes. <br />WITNESSED BY <br />INSTALLED BY <br />/ psi for a <br />Date E <br />Date <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 1"FIAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK ATTEST 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 51-42-1105) <br />Hard Copy — Job Site <br />Pink Copy — Contractor White Copy — Inspector <br />