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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE tD/slG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Ranqe <br />Type I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openings <br />lnstallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release <br />t^rza\rFFINAL4V141 ,*)vbz <br />Notes, Remarks, Etc.(,, \ <br />O\'NER BUILDER DE.CARATIOII <br />I hs.by .,Im uft!.1 loalty orpqjury lh,l I m dcmpr &on rh. conrftcrst Licos. Lav for th. tollowins rai,. (3d.ioll.5 <br />Bsin6e dd ProfBiion Cod.): tuy Cily or Counly vhich r.qxir6 r FEn lo coBlod. .tla iopr.E {Lletth or Epai dv <br />ndcr@. For to ils iss@c. ale rcqw6 th. apPlicril lor such p.di lo fiL ! !i8.Gd $nmd lhal h. or 6h. i! licd.d pledl <br />rc $. FolisioB of lh. Cont &loa! Li*n!.! t w (Chrpl6 9. Comacing wilh Sfttion 7000 of Divilion 3 of tlE BusirN ed <br />PrcfsioE Cod.) or ltrr hc or lhc is qmpl thc.toE ed lhc bosis for th. all.g.d q@ptiotr. Any viohliot ofselion 701 1.5 bv uv <br />lppli.ml for . pdril 3ubjcds lhc applicel to ! civilp.o,llyofnot horc lhe liv. huf,drcd dolla ($500). <br />-1. <br />6 oMo of th. pr.Fny, o. ny .dploy6 wilh w.gB s tMi $1. compcietion. rill do tlE wort dd rlE srrud@ b ml <br />inlodcd orofcrcd for salc(Sc.7044, BEinBed Profsios Codc: ThcCo 6.roa3 LicN ks do6aor lpplylo &omd of <br />rn Frpqly wh6 boildeor hpro6$a@r\ ed who do6e.twolkfiin&lf orhNlforltuough ht mhdou@plovd, <br />prolad.d Oar such imp'lm6 s e rcl htod.d ororr.d tor eb ll hoffi, dE hildins or i4o@6 i! $B wnhin on. rw <br />ofconpldio'! rhc O*t6 Bdld6 siu haw tlE bixkn ofPoviic $!. lE or slE dil nol buikl o. iopro* ln. p,lFry for lhc puF€ of <br />-1. <br />s o@d oath. lroFly, u dcluiv.ly co r.clirS wilh licas.d co octoato cotrlncl lh. pmjd (Se. 7(}44 BEiB <br />dd P,ofsion Cod.: Thc Co.lrciol s Licds. Law do6 not apply lo u oens of proP€ly who blilds o. inprevd lhd@.. <br />dd who ontEcls ror s!.h Fojds enb ' cod6cro(, ,i.aB.d p6u..r lo rh. conrr.crors Lic.e Lrv) <br />D.tc:_ O*rcr <br />WO{XTRS'COMPENSAATON <br />D[''LANATION <br />I h6eby smrm unde. p...lly olp{juy one olthc aollowt'8 d(lmtioN: <br />-l <br />blk ad will @rhlsi. s Cdifi..l. of coBd lo S.labsw for wdk6a @hP.nelio4 t! Fsvid.d for b, Scrion 1700 otrh. <br />L6hor Codc for rh. Flotrlr,c of thc wl* for *'ltth fic p@t a suc{L <br />-l lE!. e.l witl bainlair wort.a @sp@lron iGu@c., s Equn d b, Sctioa 3700 otlhc t ho. Co.h. for lh. Ffor!@e of <br />th. M ftr vhich rhis pdnn !! is.d My @r*d otrrp€sdion iBllle. @id ad policy n@b6 e: <br />-I <br />..nify lh,t in lnc pdfoma.cc of li. wort ao. whict rnis Fnil is isucd- I th.ll not onploy 4y pqen in ey mtucr <br />e s lo beom. subjdr lo th. *ort6' conFNIion law olcdlifomir, Md .gG lhal if I should b..on subj..l tolhc <br />wo*d comp@rios previlioB ot Selion ]TOO otlhc l-abor C!d.. I slDll. fonhwil[ comply w n ifiok Pmvisioa <br />WARNINC: lrilurc lo sue worliG comp(talion co(m8e is t. sd sh6ll subidt e dplorq to ciEiral FE!i6 dd <br />civil fin6 up lo oru hun&cd lhoa&d dollffi ($!00.000). in sddn of cosDserion, d.ma*6 G provid.d for llE <br />Serion 1076 ofrhc bbor Code irlr.n dd <br />LlcI[lID_rQ[LE !!I()!] <br />I hftby arnr un&r p6atq, ol pdjory O'l I o [c6r.d udq Flli.tion oachtpls 9 (ommcins wnh Sdtion 7000) olDivhion l <br />I hd.by ofirn ud6 paaty ofDajury <br />islGd {Se. 309?, Civ C.). <br />is , onsltuclion knding ag6cy for lhc pofo,Ijmcc of the uoil fot which lhis pd.it G <br />A.TIIICANLDIiCIASAIIA <br />I tr€ty aflim undn p..alt, o t p.rjury one ollnc lollos ins ddl&a' idos: <br />Dcdohion P6mirlkbdm Nolificalion Fcddal RcgllarioB (TnE40. P0n6) <br />-R.quired <br />L€rrq olNotifi.arioh <br />-l <br />cdiry rnar lhe fcddal rqlulalios .caa.dins 6b€ios reloval dc .or alplicobl. to lnis Pmj.d. <br />red rhis arDlicarion ed earc lh..bo\cinlomarionis.oftd,aarelo.onplywilhallciiyandcounly <br />ar. La\vs rel.lin8 ro building .dnornJ ..F6.n|ati!6 orlhi! Cny 6d Cou.ry lo o16 uPon lh. <br />/z-/'/-/9 <br />- <br />=crt- fu <br />- <br />o o <br />Other <br />Hood <br />Date- <br />ol llE BBilB od PmfdioE Cod., ald my liceN. ii iD tull aorc. ud €flcct. <br />I