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"111111111 CITY <br /> OF EVERETT <br /> SE DUCT TEST AFFIDAVIT <br /> Owner 0,-A) u A) <br /> Job Address j2O5 CrAR--r 4 Um/ 1-.7z)47 Permit No.POR�°re <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 li u' 'ght. (IMC 506.3.31) <br /> >-<7(WITNESSED BY c'� Date 25-/g <br /> '- i49"S. r /-2 �6' <br /> INSTALLED BY -�/�"� - 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 (1:\ <br /> tom/ 0/1 <br />