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46.77CITY OF EVERETT 3 <br /> PIPING TEST AFFIDAVIT <br /> Owner 60e,(K1 (ma c/ <br /> Job Address ' C-' �--J$Lte) gie,41A liV4 97) Permit No. M 909—O1,/ <br /> The refrigerant line natural / LP / medical gas system (circle one) was tested at 5 c D psi for a <br /> total of 6O minutes. <br /> WITNESSED BY Date /0/0 Ay <br /> i.._. . . u> requesting gas service <br /> INSTALLED BY .,./ //� Date 4/50y <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 />