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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS I llv I c B <br />&d ProfBrion Cod.): tuy cny o' couit, which l.qut6 . p.rnit to @nnrucq .lrc, hp,ov., d.holirh or EPtt sy tnuc@, Prior 10 in <br />i!runc., rlto qui'.! tn. lPplio fo, ruch pmn b fib I risn d .tamar th.! h. o. rt ir lio.,tt d pu.6t to rh! pmvnioit of th6 <br />CoirtcroltLi*..1hw(Ch.tgqCo@.Ein8vithS61iotr70006fDivilion,of6.Build.idProfqiouCod.)orrhllh.q <br />rh. h ampr thd.fton .id 6. b.!i. for th. .lhs.d q@ptio. Any violtri6n of serion 703 I 5 by &y .ppliqit fo. . p@t t!bj.d. d. <br />rpplionr ro . civil p. tyolmt noc nhu fN. hM.lr.i doUB (1500). <br />_1, s oEd of ttc pEpqly, or 6y.rployd wi$ E8q t filn lob c.rp.aiot\ eill do 0!. wo .r!d $c rEueB. i no! inlcd.d <br />or of.r.d for !rl. ( se.?044, Bsiidt .nd Profcrio Cod.: th. Co.s.dor', Liee trw d6d mr lPply to .i ora ofth. PloP{ly <br />pho hild. or ihprovo tbq6q &d who dq lsn mrk hia.U or ha*lf or rlvous! hn or hd oB 6ploy6, provid.d d.! t!.h <br />inprov.m..r. s. .or br.nd.a or ofr6.d for rh. ll how.va. rh. buildinB or ierroEo.rr ir tol.l vilnh or. ya ofonpldiol\ !h. <br />Osd-Buildd wiu hlvc tlE bud.n of provins rhrl h. or rh. nor build or iiprow for ih. DuDor of sl.) <br />,1, u oua of $. propEly, .o qclqiv.ly enrlcdng *it! lietu.d @nt6.1otr io @Erruc !h. p!oj6! ( Se. 7Oaa. Bsird ed <br />Plof*ioi Co.lc TnG Co.rldlfr Lc.d. Lw d66 rcr rpply lo a ol,M of propaty pho blil.L ot iaproE tnaon , ud who <br />coimd! for .u.h liojd. qith . conrtuto(4 li@cd putru to rh. coM.i6r't Lk . Lrw ) <br />_l rn .x.npt lnda S..ion <br />-a <br />&P.C forrhlr.&n <br />!oBB!BSjAI4!NEAII0!..p!CLA8A:I!0! <br />I hooby.6irm !.d6 p.uhy ofp.rjury on. ofrh. following d&lrnrio l <br />_lh.v.rndwill indnrCsrind.ofc6. b S.lf.IBuo fo. s*a.' @mpcuriol\ .! Dtovid.d 16r by S..rion 3700 of dt. <br />lrbor Cod., for lh! ,.lfortr4@ ofrb. *orL for {nicn rh. pdnh i! i.ru.i,. <br />_l h.v. ud will mirtrin wo*6' oorp. .rio. i,'uonc., g &qd.d b, Sccrior !700 of tlF hhor Co.lo, for th. plrfomc. of th. <br />worl lor which rhb pmn n isu.d My vo.tai iosur.ne oEisand policy numbd 3r. <br />6 -o-1 <br />(TbL *dion i.d ior b. o ilth. r!,mit ir for Onc huidr.d dolLtr 11100) or larr) <br />_l cdlify tut o ti. pdfornl.G of thc elk for which lhir ,6nn q i$u.4 I rtlu iol 6pby.ny pdon i. .ny .arc!ro <br />b.qnc,ltjca lo !h. stld ' @op.utios Lu ofc.lifori4 rnd.!r* rll ifl rn !U b6oru rubjo.. to rl. worka' <br />comFMlio. proviriod ofS.aion 3700 of0!. bbor Codc I.h.ll <br />--tL-o'l <br />WARNINC Frihr. !o .6Eo worte!' @mp.N.!ion @vog. i!ud rhru ,ubjcct & dployd to 6iDin l pdlti6 .id cilil <br />tu. up ro otu hun .d lhou$d .lollu (lloo,o00),ii .ddnion l. rh. @d of @nT6tnio4 d.E 8!l r, providod for th. S...ion !076 of <br />rh. Lrbor Codc i qcl.rd.trom.yt ld <br />I,ICINSIDIONIMCIABIDECI.AEA:IIQ! <br />I h...by!trun uida p@lry olp6js.y $ l E li@u.d s.d6 provirio. ofChlprcr 9 (.o6rncrcin8 eith Sai.n 7000) ofDivirioi I of <br />rh. Bsh.s! and Prof.lro6 Codc, !.d my Lcc . i! E tull fore Md cflccr <br />9?o <br />I lm !y rntrn undcr p. lty ofp6jlry ll)x th... ir. <br />i!.s.d (Sa. 309?. Civ. C.) <br />dE !.rforune of !h. rcrl for wnkh thl p.rmn i! <br />AIELIIANBTIECIdMIIAN <br />D.mltion P6oilr.A.habr Norinqdo. r.dol RcsuLrioir Gnb 40, P.n 6) <br />_ R.q!t d Latd ofNodnqlion <br />_ I cd&t dw I h.e! t6d thn +plqtbi 6d r. {r.t 0t .hoE i.ror6tio. it @a.a I r8l@ 1o @nply with dl Cny rd C5Int, <br />o.diEnc6 rnd Sl.l.Ls EhrinS to building @druaDl\.nd ud6 z Epr6cnrds ol $s Cty .rd Colnty to 6la upon tlE <br />.bovc mcirion d p.opc,ty <br />,.,.X A'.rx *o? <br />Appliances <br />Metal Fire Place <br />Evap Cooler <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.L't.t,t )2m,/ <br />Final Test <br />Meter Release <br />FINAL b/?-tt .W <br />ii-lnsp.cnon Form3\Mochanicallispsctor Rsco.d doc 03 31 06 <br />Furnace <br />Du.: OIM <br />D."d:-s:Zf -:r4-c""'.*. <br />L.id6'r Ad.LB. _ <br />_I emry r.t ! rh. lcddl rcgulrtiod r.Srdmg EbBlor r.@ul i. nor .ppliqbl. ro rhi! poj4t <br />-------T------ <br />-------T------