Laserfiche WebLink
I <br /> CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner e <br /> Job Address ���d�� (,�.� � �� Permit No. <br /> The refrigerant lin nat�1 / P / medical gas system (circle one) was tested at l�- psi for a <br /> total of �'as-Q—A <br /> WITNESSED BY f1�✓ Date Ll ` <br /> (Signa re of occupant requesting gas service) <br /> INSTALLED BY Date <br /> ( na r o in tal Eng gas fifer)- <br /> Please <br /> i er)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 LEAKS ATTEST 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 NAME PLATE.(WAC 51-42-1108) <br /> Hard Copy - Job Site Pink Copy - Contraptor White Copy - Inspector <br /> PWPTA(5/17) - <br />