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'I I 11.11 VZ-:A <br /> f. <br /> CITY OF EVERETT <br /> PIPING TEST AFFIDAVIT <br /> Owner �D EP /441-6-- °/S'_"1 c .- <br /> Job Address 3063 60 5/f11c Permit No. 7'/s?/ - c Oc. <br /> (A)L--) <br /> The refrigerant line / natural / LP/ medical as circle one) was tested at psi for a <br /> 9 9 6 <br /> total of 3-o mint s. <br /> WITNESSED BY Doi 5rcfrlit'd Date 2•"1.°-/4 <br /> (Si natur- :if oc upa l -•uesting gas service) <br /> INSTALLED BY �4 Date 2_1 <br /> (Si.•-' ,°= of •.falli • •.sfi er) <br /> K-13 40 41,-t3 <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 a/4) <br />