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CITY OF EVEMtETT <br /> GREASE DUCT TEST AFF•IDAVIT <br /> Owner �''�" ��'`��• L'. <br /> z <br /> Job Address !�_�� �- L�11-Z�� � Y c�i�i �-Gi/f �Permit No."�'1����2 n�4 <br /> � � <br /> �� <br /> A light test or approved equivalent test method was perfermed to determine khat all welded <br /> and brazed joints of the entire grease duct system are liquid tight. (IMC 506.3.31) <br /> WITNFSSED BY ��%���c i�-�,; — Date �Z ` '�' � <br /> INSTALLED BY _. � �'�`�'�� Date_ ��• � <br /> � <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-Contraclor While Copy- Inspeclor <br />