Laserfiche WebLink
CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner ( <br /> Job Address ��� � -� c%�� r � � S� Permit No. � ' -- <br /> �° C-�� '�'� � <br /> � <br /> The refrigerant line / atural ; LP / medical gas system (circle one) was tested at J� psi for a <br /> total of �� inutes. •, <br /> WITNESSED BY � Date � - � "'� � y <br /> nature o occ ant requestmg gas service � <br /> INSTALLED BY _�,.---�-.,- '�-�'''� Date � - �j - � <br /> ur is ig a ie <br /> Please arrange for someone to be present on the date of requested inspection to provide access fcr <br /> the inspection. <br /> REFRIGERANT CONTAINING PARTS OF THE SYSTEM TIiAT 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 /> �'' <br />