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CITY OF EVERETT <br /> GREASE DUCT TEST AFFIDAVIT <br /> Owner 1`A L DIY <br /> r" � r- <br /> Job Address 6- t ` 7 -tl "� ' �� Permit No.` <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. ,IPC 506.3.31 ) <br /> WITNESSED BY JOSE LUIS WELDING FABRICATIONS LLC Date 1%4/20116 <br /> INSTALLED BY 8dirliF► o TFKAS EIRE& Hoon tNsT_Q AynNS i dilate 1%4/2016 <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 /> .w. <br /> 33% <br />