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CITY OF EVERETT <br />GREASE DUCT TEST AFFIDAVIT <br />Owner <br />�J <br />Job Address � �a �, -�jtti� � �� PermitNo. ,A//.(_'7� -O34( <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 />WITNESSED BY ,J1 / La - l FA Date � f 4/08 <br />7T \\ <br />INSTALLED BY CScofyoPh) Date <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 />