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477- CITY OF EVERETT <br /> r PLtv <br /> IPING TEST AFFIDAVIT <br /> Owner '1 if s 4j2rfru4/1"/". <br /> D2h1*i/ <br /> Job Address -- <br /> g pl S <br /> Permit No.2/1/6e6-1���— '5'5 ' <br /> The refrigerant line/ natural / LP/medical gas system (circle one) was tested at 3 <br /> psi for a <br /> total of ,4Ir 15 min t:s. <br /> WITNESSED BY / 1.f / Date 7 ` 6, �` <br /> (Si. .ture_ of occ -. reqesting g gas service) <br /> INSTALLED BY /Pc °"../ <br /> Date 7.---67-/6 <br /> (Signature of installing gas fitter) <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 LEAKS 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 NAME PLATE.(WAC 51-42-1108) <br /> Hard Copy-Job Site Pink Copy- Contractor White Copy- Inspector <br /> 0- <br /> PWPTA(5/17) <br />