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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.
<br />Appliances
<br />Metal Fire Place
<br />Eva porative Cooler
<br />Furnace
<br />Com pressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rou gh 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 />1
<br />I
<br />Rough Mech.)Y
<br />Final Test
<br />Meter Release
<br />t\FINAL r4lt4 tl,t,/
<br />Notes Remarks, Elc.
<br />OWNAR BUILDET DEL('ANATloN
<br />I h6.br.rm utda pa yofFr{ry$r Im6ar,l t E ! Conanotr Licgu b* fd E tllb*iis l65i (s*.1i11.5
<br />E!.itE ttd P.ofcbn C.d.): Ary Cay d C@ny wnkt rqliE r Fni ro @dn4t. .tG. inv.oB d6Elih tqri -,ll,lde Fir b ir i!*r. .bo !qli6 r,!. ndkd tur ult Far lo 6b . rh.d rr.ridr rn ln d tlr a lkd!6d FEn
<br />lo lt Folhi@ ol iE Codrrldr Li.aB.d Ls lclria 9. Co@ing wih Sclhn ,!0o of Dvitbn ! of E Bui!6 6tl
<br />PDroiod Co&) or $d lE o. .h. h a6fl th.l.ioi e)d th! b.!b tor rh. .!bt.d goiption. A.y viol.lio. otsldior ,01L5 by &,
<br />+plicul br tFet rtid! tlE @lion ro. civ Flryof et DErh& fiwlud,ld rt,Ud (l5OO)
<br />_t.. @E oflh. FoFry. d iydpr,]6 wtn w.8d i lhci st. @rF!rb.. wiU & 0t rst in dE ritrG. D.
<br />iin.'.,.d 6 oturd 6r .lc (Sc.70a4, ButE ed hofsiod co& Tlr col,r-rc i Lilu Ls d'. nor .p?, ro u ow or
<br />dE FDFt, eiD UIUL d i,ryo6 fiaEn dd wh6 do€ ,rdr wli hi@,.o, ,E-lf or ltrclSh hh d h6 oM dpbtc.
<br />Foi.Ld IL k! rv$!t6 ft 6i iia&d do&.El b..b lt to6€. tb b,tll,nr d iF!!€d add *nhi, m rtofstgbit! llE oliG hrilb si[ LE d!. hdd! ofFwt tL lE d * fi Dl hrld d i?oE llE FlFry t, {r FrF- of
<br />-1.
<br />s otu of tlE Flrqry, m qcl6n Gl, o r.ltle *Ih li.ar.d.orr...im lo otntud rh !roj.( (Sa. 70rl.l. llliErn Altdn Co&, TIE Coflr-rd.' Lkd& Llr &6 mr ql, lo 3 0$16 .l FoFt *lb h,ill o. inFor€ rh€o$6d r{b 6trt-r. rd o.n Foi.' wiri. Conrxldlr li6.<l Frnar ro rhc Conr.rd'r tiq& tr)
<br />-l
<br />e.rmpl und6 S(lbr .ll .! l'( nn r[ \ '.rntrr
<br />&a8f,E85:CAUfEdSAnq!0lclJSara!
<br />I lErb, .rm u!d6 Frhy olFjury on. onhc rollowins d..bflioNl
<br />_l h.E nd till ridd. c€rif.rcofcocr 10 SdI-lDE f6 Et6 drE6..i,.!. !ov!.d for b, scrbo l?!0 olrb
<br />t.b. Coil., for 0E FfrlEE o([r Nt rq rttt rt Fri a brn
<br />I bv. !d wiu oii4rtin *ortd onpo!.rion iaurM.. o r.lutcd by S6li)i l70o ofthc l$o. ftdc, for th. pahtlr@c of
<br />IE w fc sni(:ll rth p6oir ir itr,6d My wrt6 ohFsnioi in.llru. trid lxl Flty nunb< E.
<br />-l
<br />.aliry th. i, rhc Ffotuc of dE yort fq f,,lrih rhb Fnn i is!4 I idl mt o,pby 8y par6 h 4y IlllE
<br />- !l' b6ft tul*rr ro rlE Ei.l oqdM Lr olc.li6oi.. rd tc tlu all lho$ld bcffi stin lo E
<br />e o' 6nF!.ti6 Fevib6 of Seli)i 1700 of tlE tltd Codc I ilull hnhsth sftply siri thos F!vbio6,.
<br />WAf,lllNG: F.ilw lo s@ Etd' oreqlrbn @ratE ir mL*tu|, rd tldl obi.d a a?t'F ro airid Frli.! !d.iv nE up lo oE h!o(H llDEd &llrt (tlo0.0@). h .rldibn lo rh. on of orqaldidl- .l!r{6 i FDriLd fti tE
<br />Serbn 1076 otrlE lrtor Codc inl6a ad dr.y 3 f6.lrZ
<br />Lrcf,nsED coNrn (-ruR
<br />DECI68AftAB
<br />I hftby imm unds Fdly o f Fjory lhd I @ licasi uds F.\ iiion of (tufl6 9 (Nltj6ci4 qirh S.cr ir. 7000) oI Dn nion l
<br />of rlE B6itB ud P'olBba Co&. nn ny k.E ir h tull for.. id.lld
<br />l-r.N.Nu tr
<br />(a&I.Ia!(.tta[rE!iDlt]i-A(i]r(}
<br />I hmhyar m undd r.nalry o f pajury rhd rh.. ir 0 connrucrNn lsdin! r8.ry f(tr thc nlnltrnMc. ol rtu so'I for nh([ rhir Fmit ir
<br />issucJ (S( :1097, ( iv ( l
<br />L.nJd 1\rn.
<br />Ladd'r AddrB
<br />rppt tcln'r urc'uturtol
<br />I lEd, rrlm unda p.Eh! ol FJ!^ oc of rh. f.llN dr d<(1, rt x,,s
<br />D.,hli,En Pom r' rtEdG ,\o'ilE.rion FaL.ll R.suhhd (IilGr0, Pd6)
<br />Rlqun.n krd of Norifi.dion
<br />I cstiry rhi rlE f.d6.l l!8uln$6 rB&dins dtdor rmvn N d 9lk.tl. ro rhir Fnjc<r
<br />I.6i&rhd I h&c 6d thb.rriic.ri.r !d thr.thr dc fto!. int6mui.. b con.d I .!.G ro snd, " irh ill Cnt .od ( ouny
<br />o.dine6 ud S'd. t.st Eldii€ ro hlildtrB codtu.lio[ rd hdrtiy iurhori* EF6aldivd of rhi! Cil y ed Couriy lo drq upo. rlE
<br />.ho( 'j6Er.d FlFry 6r iNttrbn F Fs
<br />^pprf,d
<br />o, tud sryM,u. Y-ft <'V r)r.
<br />PmilEMn.(pnnr)
<br />I
<br />gil
<br />COMMENTS
<br />Drt.:- nfft.", t4
<br />I tlg/q/n
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