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O:rr CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT ' <br /> Owner <br /> Job Address <br /> "70—.Cr���,, `F C �L Permit No. <br /> The refrigerant line / atu / LP / medical gas system (circle one) was tested at psi for a <br /> total of minutes. <br /> WITNESSED BY Date <br /> (Signature of pan requesting a ce <br /> INSTALLED BY Date 21 <br /> k,31yriature OT insTaning gas fiTTer) <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 /> Hard Copy —Job Site Pink Copy— Contractor White Copy— Inspector <br />