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Mar 20 DO 03131p DI(G ARCHITECTS 4254070714 y p . l <br /> FA Y --- `r < ) --3 "/- �fU <br /> CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner V/1A L <br /> Job Address 2-(-f ' 7 T y S .T _ Permit No. <br /> The refrigerant line / natural / LP / medical gas system (circle one) was tested at J psi for a <br /> total of Jam— mir}f�tes. <br /> WITNESSED BY ��C%l �� Date <br /> Ig lug' oI oC ant requesting gas somcr, <br /> INSTALLED BY Vf/ %A / Date D <br /> �� <br /> Tdrf3-o <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`NAT IS FIELD EI IECTED SHALL Bt-fESTED FOR LEAK AT TEST PRESSURES NOT <br /> LEoS THAN THF.LOWER OF I'HC DESIGN PRESSURES OR THE SCI-TING OF THE PRESSURE RFI IEF DEVICES THE DESIGN PRESSURE <br /> COR TESTING SHALL BE THOSE LISTED ON TIhIC CONDENSING UNIT OR COMPHCSSOR UNIT NAMEPLATE.(WAC 51.42-1 100) <br /> Hard Copy -Job Site Pink Copy -(;ontraclor White Copy- Inspector <br />