Laserfiche WebLink
r-/'��( r/�. `/�'i - � .L i'J� ,='�, J��, <br /> CITY OF EVERETT <br /> PIPING 7EST AFFIDAVIT <br /> Owner _��_�/��—� ��� � � <br /> Job Address �(- l D l U� � �� �} L �- � r Permit No. � � � �`•2 -�n � <br /> t� GL'��, �—�.r�•�--- <br /> Th�-rek+LfEIclIILliu�l�awral-l1.PJ.meclical-gassysiem.(ciccl�-aae�,w�s tested at ��pei-fera- <br /> total of/�� minutes. <br /> WITNESSED BY - G� � , � Date �y - (i,3- (�� <br /> ��ignature o occupant re iesting gas er� � a <br /> INSTALLED BY '/�•_ �k. cc:�,.¢�YC.4C. � .-�./G . � �t� �j ' d.� -"O 6 <br /> ��__isyi u i u a i i <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 SYSTEAI THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURE3 NOT <br /> LESS Tl1AN Tf1E LObVER OF THE DESIGN PRESSUFES OR THE SETTIIJG OF THE PRESSURE RELIEF DEVICES. THE DESIGN PRESSURE <br /> FOR TESTING SHALL BE THOSG LISI"[D ON?HE CONDENSING UNIT OF COMPRESSOR UNIT NAPdEPLATE.(WAC 51-42•1108) <br /> Hard Copy -Job Site Pink Cc;�y- Contractor White Copy- Inspector <br />