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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS ol llf,R tutLDF.r DDLaraTloN .I llatt, .Eib u!& Frly otFj{ry fi, I n qd$ tor r C.flfio6 Liig t* for tlt 6lb$iis tlen (Sa.7011., <br />BBi.s .d Prcfq$n Cod.): Aiy Cny or Counl, *iich rGqui6 . Fmi to oiiocl. .ta. inFDlc dahlirh or nl,.i &t <br />ildcFirlo a. i*Gt..1o,!$ta rt ?di:n 6r un Fon lo 6L. riF.d fi.llEn rlt. Iro'r& ir li.sr.d F,q <br />lo rhc Fovtiod of tlE Co, rdnr. Lk.E d Llw (Cb!pi6 9. C.Min8 *nh S6rio! 7000 ol Diviion I of llE t}llEa a{ <br />PretsbE Cod.) or rhd lE a ta h qalPl rhddor, s'd rE b.ri tu tlE.lh.d aoIdbr <br />^nr <br />rbbbn ors..rbr r0ll.5 t, @, <br />qli.! b, rpqnir $bjdr lt .fpliofl io i. ilpa.i, olmt eE lnn nv. huiit d &ll!! {1t00). <br />-1.. <br />(rc of llr FoFrr*. d fr, @plor6 wilt ql36 a fi.t -l @nF!.ioi. sil & ENt ird E r^.!G ir rD. <br />inqd.d d ofa.d 6r.L (5-.7044. B{nE !!d h$&r.ioE Codc TIE Coflrxrd t LIEE lre &6 rct edy 16 - o"E of <br />thcFlFry s'lD hiBd !4.!q$dor Dd*ho &.utsod. hidr.lf oilE*tf orrhiusih! tE o$n.nplorr... <br />Flvid.d rh. si iryoEm G or irad.d d oEld 6. -L l[ lEr.d, d. bildig d iFo\qEr ir -E sinr c Jdof@plai,o, tln or*E Aildr will ltw llE h!d6 olFDvi'I lL lr G !& (8 d hnE or hlqlE dE Fpdry in tlE prF.G of <br />_1. . ffi orrh. Foldry. m dclaiwly coiro.ring sih lk6tr d cod.aroEro $drucl rlE Fnjllt (S- ?1x,4, BanB <br />.d Eobin Codc, Tn. Conln rofs Lic . Lrw &d mr rFply ro & o*E ofpr.rdry *ho boild! or ihpm6 rtd6r. <br />Dd *lb od-l! br rh Foi*r! vih . Conr-l6(O lilE d F!,Ei ro rlr Co'rdd r lioB LxJ <br />I u'.\.tr,nr trnJ.r \.!r ff <br />l).le ()nnd: <br />llltBf,[85](AutEllArArl)f( l.rI.Atl(tfi <br />I h6.bv.firm uid6 p.nnlrr oIFrrr- .n. ofrh. nnkNur dftl{ihnN. <br />-l <br />hc d vill ill.n . Cdifta. of C(t!!d b Sdf-lEG 6. rui6 o'lrqibn. ! FriLd tu b, S<rbi lrm of U. <br />L!b.t Codq for lhc FfDlrrlle otllE eort &n s,ti.t tlE psni h iB.d. <br />I h.E.!d eill oid.ii \uta @rFdIiD ilullfu.. a r.quftd ty Scrba !7@ of rh btor ('orla lbr tlr Fl(nlrc ot <br />lh. sott tof whth Uir Fnil a ilh.d My *qtd onFErion iEuft. .sir ri policy .unbcr E <br />I cdit rtd ir thc F foM. of rh. so.t fo. ethh rhi! pdni L iso.d.I Ctlll iot mploy uy p6$r in ..y Etra <br />b . ro t6oB rltiat lo llE xuto qmFldbr bq of Cdifohi.. Dd rE lhd if t dblld b6oe $ti6l lo llE <br />6dd' oEFldin FeviriE ofserbr l?@ olrlE Lrt . Codc I JdL fonhr'irh olpl, $nh rh.r Forib6 . <br />w^tl\lfiC: r.ib! io GG wt6' @lq6rh. @!.{. a dLqtL id idl ibi.( n dplorq lo aiiid Frli. rd <br />fMl 6n6 u! lo oc lui(l..l dulad &llrt (1100.000). i. ddiioi ro E<od oronp.cdio.. &ruro u Fovkl.d for rb <br />SdiF 1076 ofrh trbo. C6d( ii!!n.!d llo.rcr'r &.. <br />4r,t <br />UCEUAEDIqAIEAGIABltctaSalo! <br />I hqltt.ffires!d6pa.lyofFiu.tt I o lilarid rr.ru FDrlbo of Clr4td 9 (6i,ltEi"8 rnh S.abn 7mO ot Dvtb! ! <br />of lt &!tE od Protd(E Co& rd 6y laa. il ii tuU brs d.ftn. <br />,"",...,", F 'r-.,.t i). <br />IqISIXIiLI|OIIEIIIICJGEM;I <br />I hcttt.rftu un& Frt, of Fi'ry thr llE! ir. oElru.iirtr t dinr .8Gr r dEFftxffi of rlE sd ktr s{lih lhit Fld a <br />\trcl1\( iL,'.(tr ( r <br />AIE{AILDECIJSADA! <br />I Hy.lrm$d6 Fn.ny of Fjory oE orrh. ro owiu &(lr.rirnr <br />Danllbn P6Eie^tb.n6 Norif6rio, F.d6.l treuhrioo (Tnk a0. Par6l <br />-R.quiEd kl6 of Nodfdrio. <br />-I.6ritrhr E r.d6.l E$ldi6 r.rrtry.b.s6 lft\dr. ml +l albL lo ria Fj.tr <br />-!.qtitthr <br />I hErdrhbeli{bi nd rr.rhr d. oit inbrorbn ir Nr.d I r8Eto@rdr *nh.I cirr !d co'rd, <br />drL[d6 d 91.lls r*n8 to hrldin| odntrba rn bqltt ,b'i,,!r.Equn6oft!Cit,sxl(bufl,bdrarFcrb <br />,botr rdrio..d phr,61y ftn .l-€-tQ, <br />Apili.atl c ArE S'Bdw: <br />PmnerE{Fi.tt <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 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. <br />Final Test <br />Meter Release I t <br />FINAL lLtl*WIYI <br />Notes, Remarks, Elc. <br />Drrer_ <br />I <br />I <br />I <br />l <br />---r--