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MECI{ANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS ownB lullrtt DaLc f, rl(,N
<br />I tatt,.ffro !.d6 F.Iy of Fi'ry rh I a a.!tr nM dE coc.dd tiE L* &. tlt 6llowi,g ta' (&..rc11.5
<br />e!i6. d no&riD Cod.): A!, Ciy 6 Comy etth Gqliq . FEi lo 6dirr. .Ia. i4.ov.. dDLt d lFd d!
<br />nnErE!. rit lo ir. illrc, .to rlqlia ll. {rli.d 6r rl.ll FEn lo fi} . .t .d ri@n t [. d i. i li6!d FrtEr
<br />ro rlE FlvirbB of 6. coltr-rn . Li.6t d r.* (chda 9. CosllEint win sdbs 70o of Divi.bo 3 of dE &!ire .d
<br />Protsi.i. Co&) or rh, !E d ti. i a@pl ttq!6oo od lt t-i lbr UE dLacd aar$btr &y vbLtbo ofstdi,.70:11 3 b, ey
<br />qrli@r 6r . Fnt sbjcl! rt lppuor ro. ovilFdryotrcr 6oEthr, frv. hudrld &116(1500).
<br />i( r. o * or,r. golot,6 dr 6pbr€ virb $s6 ! dEi Dt oi{otabr! rilt.b dt6t ri tt dlEG ilrcr
<br />irdLd rotuld f6sL(Sc.7oaa. &dE-d PilbnE c.d.: TLc.c.dd.' Lis t s<boot+lyrodorE8i
<br />rl'F!F, rtD hlilr d iry!€tddr..t slD.h€ rd rqt titrrd(d t-*lf or tLoq! !i. d tE ou.4L,tq -
<br />FviLd rlr ]dr ipord E d ir-dd 6oE!d n ..L. l( ho@. dE hlAir d igoqd i -B,ihit c rroldr'hio. oEo.E E E* LEllt hrh ofFovit lh lt d lt (B d toi! d iqlw ltt FFry E & fr4Eot
<br />rl.).
<br />Lx\f\ $oirl'clrolrrl. rn.\rl(f\(]\..nrricrtr,! \th l'!(1N,1..nrrtn\kJ(nirtu rhc li,,r.rrls.c lr]l l.lt$tt*\
<br />Ed *ho 6tfid! for sb Fnj.$ vnh .r,ll(1.fl,.,.i! \ l \.n\c 1.,)
<br />I sa@pl !r<b sdbn
<br />o..7-2/-'Zot?
<br />I hd.by .Itm u(ld F.ly ol Ft'ry
<br />Ihi\(n (l\Lllnrifl.ir a ( d'li.rr..(irtrsl to S.ll-lBur. tu $orkdr' conD.nsnnr, s I, ydcLl nlr by sdrion :l r{,0 or rh.
<br />lrbd ( oda lr rh. Ffolr1@. of llE m for $ti.fi llE FDn ! is.d
<br />I hlE.d will ui.rtir srtd con!6rb6 itffic ! rqlild n, Seri[ lrm of$. lrtBr c.d.. lbr dt Ff rcof
<br />tk wi &. *ti.tl[iFEt a ii.n M, $tta'.oq6.in i,llrc ni d roli.y ndbn c
<br />Pol,clNuntE:
<br />6l c.n'l! rhdl tn rlr t*r.mrn..orih. worl for qhich thk p6'n ir Lsu.( | lball nor ontloyMy p6!on rnlnymen.
<br />$ nrhiNnn. h,.{l ro rh. u,ort6 {ortdBornrn h$.l(!lifo6i{ dd.Brethrt itl slNuld li({6c ohj.r rorh.
<br />sort6' coflrFNrion pmr n$6 ol sdr dn 1700 of rh. Irhtr ( (rl( I rhlll. lonhNilh comply wlh rhos pn\ it,.6
<br />atilr D .rploF lo dintd F.li..tn.nil fr6 up ro ml lrH rlould &,lld (ll ol odr@rb., d!tl*6 . FoviLd ld tlE
<br />Sdbn 10?6 of tlr L.bo. Cod.. iirclr -d rb.r9,!
<br />o.n 7'2/' t'<'17
<br />I tq!b, rlIm !od6 FrI, or Fjury thi I h
<br />of tn. tlsiB &i ProbbE Cod.. rn my ltoE ir h tull for tn.,bl
<br />I krh. \i (rru
<br />CONSANUCTIOII LTI{DIN(I AGENC1
<br />I Hy llTnn !flJ6 FEXy of Fjury rhd $4. i! r olHrud hn brldU ry*y for llt Ff(!11e. of rh. $!tI for *nah ltn Fmn !
<br />iro.d {se :lrr}7, civ c.).
<br />l6&i r Adrd
<br />Af PLICAN T I'i'('L T,\'IION
<br />lhod, i,fm u.dd pdahy olrEjury on. olrh. follosinS d.tL,!ri,n3
<br />rr.'n.li R'n I'df, 3-Ash6tos Noli6(&.n l.d6.l Re8u lal k,ns ( 1 1.40. Pun6)
<br />Rrqutr.'.1 I dt6 of Ndilicltr,n
<br />I .qr'fy dlr rlE tdanl rBsldiE Erdi,a .6!dor lqEr.l c d pli.bl. lo tnb For<r
<br />at -rirytr tt -r.ra oi dtni., -a .hor. inro.r no ! cdr.d. I rrE ro c.!p, lni .I Cay !l(l Coudt
<br />nlidlg .d Srr. l.s rtilg lo hsd,arbrn i{.6.triq 01ll! Ci, od Co'd,lo anc uFn $.
<br />.hor. lmrbn d FoFdy for
<br />@ u,, 1- 2L1a7
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulalion
<br />Smoke Detectors lnstalled
<br />Rouah Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Range
<br />Other
<br />Hood
<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.14,{ l(-?/t4C(D)
<br />Final Test
<br />Meter Release lt )
<br />FINAL Ilotln wtrc'
<br />Notes, Remarks, Etc.
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