Laserfiche WebLink
CITY OF EVERETT <br /> PIF�ING TEST AFFIDAVIT <br /> - ` , � <br /> Owner � <br /> Job Address � � L� � S . �'� �� Permit No. � l 7/ l✓ '�C_'� �' <br /> The refrigerant line natural LP / medical gas system (circle one) was tested at �� psi for a <br /> total of .� C� min es. � _ <br /> WITNESSED BY ` �j\� � � ��,�-- Date 1 � ' .� �— � � <br /> i ature occ ant_requ sti gas service <br /> INSTALLED BY - -��= �...�� Date �� --3 — � 7 <br /> i u i i <br /> Please arrange for someone to be present on the date of requested inspectior� 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 /> ��/l <br />