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Mar 06 2008 3:39PM LR QUIhTfl IHn 4253483048 p.l <br />CITY OF EVERE'TT <br />GREASE OUCT TEST AFFIDAVIT <br />r (�/lo�sc�- Q�} � <br />Owner � b��c0 • <br />Job Address I`l07_ 5 t E�sem� /��� �_ permit No.�1L8aZ-� <br />A Iight test or approved equivalent test tnethod was performed to determine that all weided <br />and brazed joints of the entire grease duct system are liquid tight. (IMC 506.3.31) <br />WITNESSED BY <br />INSTALLED BY <br />.. : � �. �'i� <br />— <br />�. -r� l.,: <br />Please arrange for someone to be present on the date of the requesteti inspection to provic <br />access for the inspection. <br />Herc1/Manlla Copv - Job Slte <br />IZs- z5 7 - °� �s6 <br />Yellow Copy • Contradar <br />Whlle Copy- Inspector <br />� <br />