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CITY OF EVERETT <br />PIPING TEST AFFIDAVIT <br />Owner <br />�7�� Yt _ <br />Job Address Q / _-5a Permit No. <br />The refrigerant line / natural / LP / medical gas system (circle one) <br />total of 'minutes. <br />WITNESSED BY <br />ure o occupan reques ing gas service <br />INSTALLED BY <br />' rTrrsTatrrrtg-gast <br />was tested at i 5; psi for a <br />Date _ �1� �)-b Q <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 THAT IS FIELD ERECTED SHALL BE TESTED FOR LEAK AT TEST 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 1108I <br />Hard Cooy - Job Site Pink Copy - Contractor White Copy - Inspector <br />