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CITY OF EVERETT <br /> ,44&r? GREASE DUCT TEST AFFIDAVIT_ <br /> Owner DOHS N05 "2 <br /> Job Address J i l 3 J4 Permit No. l f 7 j i 04/9 <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 c-Qckh tLi CO Al 4 3)1G;t ILA Date �`' 17 <br /> INSTALLED BY a�.: �" ,. ' -- - 1' 'Pk Date 11 2_S`I7 <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 />