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CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owne r ���� �5 i'�C�:.•- <br /> Job Address �`j�� Z ����� �l��°-�.•7 " �� <br /> �_}'�v . Permit No. 1'�L� ���� � <br /> The refrigerant line natural� LP / medical gas syst (circle one) was tested at � s' psi for a <br /> total of .-�� minutes. <br /> WITNESSED BY Date � --�2--�- /S <br /> ignature o occupant req sting gas service <br /> INSTALLED BY � � Date �,� �''') -� �� <br /> r i ig s <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 I;ONDENSING UNIT OR COMPRESSOR UNIT NAMEPLATE. (WAC 51-42-1108) <br /> Hard Copy—Job Site Pink Copy — Contractor White Copy— Inspector <br />