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CITY OF E\4EiZ�TT <br /> GREAS� DUCT TEST AFFIDAVIT <br /> Ow n e r =x(�tc� —� �'l�t'�,�►�, �, �'���, i, <br /> r-- , �- :. <br /> .. <br /> , � �- <br /> Job Address � � l�� �� � � E'��� �'��= ����� 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. (IMC 506.3.31 ) <br /> � <br /> � ; _, . , <br /> , <br /> W ITN ESS E D BY ��------ Date �' ��� �/�� � <br /> INSTALLED BY �' � �� Date � ��i� � / � <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 />