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CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> C7E,( <br /> Owner <br /> Job Address it Permit No. 9174 <br /> The refrigerant linenatural / P / dica ystem (circle one) was tested at psi for a <br /> total of min tes. Y� <br /> WITNESSED BY Date <br /> n re o ccupan_t re esting gas se"INSTALLED BY Date <br /> 67- <br /> bignature I s 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 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 51-42-1108) <br /> r <br /> Hard Copy— Job Site Pink Copy— Contractor White Copy— Inspector <br />