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OLT CITY OF EVERETT <br /> GREASE DUCT TEST AFFIDAVIT <br /> Owner --)<'‘C/ ei <br /> 2Melk <br /> Job Address1-7f--1162- r12 i ( 'PI Per /26c6-61475 <br /> mit N� <br /> A light test or approved equivalent test method was performed to determine that all welded <br /> and brazed joints of the entire grease duct system are liquid tight. (IMC 506.3.31) <br /> �` wL L 9.1 Tip te7=ta Cr— <br /> WITNESSED <br /> WITNESSED BY Date <br /> INSTALLED BY /7/-1 Icor ,e L Date 7& i <br /> Please arrange for someone to be present on the date of the requested inspection to provide <br /> access for the inspection. <br /> Hard/Manila Copy-Job Site Yellow Copy- Contractor White Copy- Inspector <br />