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� <br />� <br />Owner <br />-�"�='iins,�, � <br />Job Address <br />CITY OF EVERETT <br />GREASE DUCT TEST AFFIDAVIT <br />���—��.�,-- /y%l�...� <br />D���� G:, �� i���,.�,ci ��' Y.� ,(Jr � <br />�aos-o� <br />Permit No�!� � Z o j—oe / <br />A light test or approved equivalent test method was performed to determine that all welded <br />and brazed joints of the entire gr�ase duct system are liquid tight. (IMC 506.3.31) <br />m <br />WITNESSED BY <br />INSTALLED BY <br />�" -, <br />� %,=/�._ <br />Date ' ' � <br />, _--; <br />� Date �� � � <br />� <br />0 <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 Sile <br />Yellow Copy - Contractor <br />1- <br />WhiteCopy- Inspeclor,��,' <br />