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Owner <br />Job Addr <br />CITY OF EVERETT <br />PIPING TEST AFFI�AVIT <br />The refrigerant line,/ natural ; LP / medical <br />total of n/7 <br />1�!ITNESSED EY <br />INSTALLED BY <br />Permit No. � Q / —b� <br />yas system (circle one) was tested at J'S� psi for a <br />Date _� p <br />Date 6 <br />Please arrange for someone tn be present on the date of requested inspection to provide access for <br />the inspection. <br />FEFRIGERANT CONTAINING PARTS OF THE SYSTc!.1 THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST PRESSURES NOT <br />LESS THAN TNE LOWEf Or 1HE DESIGN FRESSURES OR TH[ SL7TING OF THE PRESSURE PELIEF DEVICES. THE DESIGM PRESSURE <br />FOR TF.BTING SHALL BE THJSE LISTED ON THE �GNDENSING UNIT OR CqMPRESSOR UNIT NAMEPIATE. (WAC 51-42•1108) <br />Hard Copy — Job Siie Pink Copy — Contractor White Copy — Inspector 1� J <br />