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CITY OF EVERETT � <br /> GREASE DUCT TEST AFFIDAVIT <br /> Owner y����C2F�c.� ���t�P►��i ✓1�'i <br /> Job Address �� ( �� ���� �� � ��'e- Permit No. Ml[2��� <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 - , Date ��^ 2¢ —�� <br /> � <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-Contractor White Copy- Inspedor <br /> \ <br /> � <br />