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�1�� CITY OF EVERETT U�� � <br />�"r"" PIPING TEST AFFIDAVIT <br />� <br />oc;n��r _5n;c.N��`�i>rl__Cc� ti �ti Cc��,,•1 _NC_i?c�N_CE.:,;7i�� <br />J��li A�I;li�s'_; �� �`l U�� ��� S1. � 6� _ Permit No. 11 �7D1 �6�i <br />71i�, ���luyer,int hnc n,�(w.�l i l� n����hc,il ��;3s syst��ni (circle one) was tested at 1L. (, psi ior a <br />lotal ol .�? _1��. roinutes. <br />�W1INESSEDBY _ � p,��, ��z,�.> Date S�//��7 _ <br />igna urr o oaui � uii rc�q�.ir ti�q q,�s sorwc� <br />i���;rni � r� r�v � ��- - _ - -- ���r� _.�!_!1%�i <br />���n�tt,•rr,•,�.�t. ��i ��:�.cr.. ��i <br />Fi�,��°,c� ��n,+n��c� f�,� so�n���,ne t,� I�, � �,�esent on the date of requ�sted inspection to provide accoss for <br />tliu mspeclion. <br />r�t ��NIGERANI CONTAINING PAHTS OF THE SYSi61d THAi IS Fi[�D [RECT[D SHALL �E TESTED FOR LEAK AT TEST PFESSURES NOT <br />. i`�S THAN 1Hf LOWER OF TH[ D[SIGN PH[SSI IRES OH THE SEITING OF THE PqE55URE R[LIEF DEVICES. iHE DESIGN PRESSURE <br />� i+ 1 f': ��ING SHAIL �E TNOSE LISTED ON THF CONDENSING UNIT OR COMPRESSOR UNIT NAM[PLA7E (WAC 51 �42�1108) <br />I' ' Cony -- Job Site Pink Copy - Coniractor White Copy - Inspector <br />