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APPROVALS DATE ID/SIG.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 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 <br />FINAL '1/F(tn zvd \"ru<6 Y <br />Notes Remarks, Elc. <br />+ <br />OW]IEi IUILDET DELCA.RATION <br />I Hy .rfirb urdd Frty of Frury lh I c qei &!E tt Cod..ro6 LioE Ltw lor tlr. &llotriry lan (S.c.7ollJ <br />&!ind !n Proftrdo. C6d.) Any Ciy or Couny *l'tt tlquic . Fia lo oirnEr. .1.. irF.DE &tuli,l n qi !y <br />iiar!!. Fir ro i! i{!E.Lorlqlirs rida.r br ut Ddri ro 61..4!.d r.dE l. h.ddE a li.q!.tl F itn <br />ro dE Flviti8 of {r Codr.co.t Lk6r.d Lrf, (Cl+G 9. ColEiiS wih S4rir ,000 o( Dirirbn ! of lh. BdE &d <br />?EE$o6Co&)dd. liqdE iadlll taltonrd Eba br th..lt*.d aatarbi. Ai, viohbn ots.di 70!1.,b,oy <br />.Fliln 6r t Fri Eti.io tll ryltr,n to ..ivil p6.l! of Dl @Eti- fiv. hqn.d d'll,r (l5ool <br />_1, ! oqG ofdl. FoFrr. d D, apbra *ah *.C... tlti.L o!fa..in *iI& d. El ad $. r^ri6 i 6tird.d d o&cd &. .l (Sc ?04r. &n- -d ft!ft.bo Codc TIE Co|[-rd.r tilB t &6 ,!or {d' lo , o*c oflt.FlF, ri. ldll d iryo6 tld6.. -d *lb &. idr sr hi@lf d lE'df d tbreug! hn d ha ao ai'ptjt€ <br />FlviLd lh uh iryDrd e 'nr ndd.d d oEld 6. rla l(, how. dr hoildt'r d iqnnlEr a -ld wihi. m )tor6lrli!.. dE olvE &rlra will h.c t r hrlh otFodtl d. lE 6 lE dd tEl hrE d ill.m l|E F!'F, tr lh FrF-ol <br />l. 6 owF of r hc propdy. an .rclHtr.l) conr.crin8 \ nh licd6.! conrrndoE r, coNrnrci th. Fnr\t ( s( 7(!l l. llur -tdnn Prnasir ( od. rh.(tntr!.ttr'r l.'..n\.I sr do6 nor rprlrro uo\nd orl(ipcdr shr hu,ldro. tr |]!tr\6rhd.otr,and rho co racGfo!3uch I'ojslr\(h i(i i0uktr(, li(6!knpu6u Dth.( onna(u r I i(.trs. 1.i\, <br />I ffi.xmpl un(k Sdion <br />o.". o_L-_o.L_LL o*- <br />TISIf,AIIA! <br />I hatby .ff6 uid6 ,ady of Dsju.y oE ofrlE follo*inlr d..hrriioE <br />-l <br />lrtr rd will Di .b r C.ri6.r. of Co'6 ro Sdf-lE4 &. sqt6 ori9odbc r FDviLd fot bt Saii:i r7m 016. <br />t-&. C.dc 6.IE Dqfo|rltEt ordE wt 6. ltit dE,ani i ilt d <br />_I h.E.,!d will mid.i! mrtd .ooFudir iMr.. d E+iEd b, Sdlbtr t7(x)ol{E L!h, ( o&, for rh. Fl(nmof <br />E rqt fq *tth thit Fnn i iqld My wrtd @r'Flrhtr iM. dir tn pol4 untd ftl <br />I Grit llw in rh. Flolrffi. otrlr *o,l ltr whkh rhir Fmir i! isu.d, I rldl mr @ploy sy Fba in My huF <br />- r lo b@@ $bjd r. rh. st@'NmFldion h{ ofc.lifomi.. .trd rgE rfia ial rlDlld h<oE ett<r ro rlE <br />$!lt6' @opqEaion FlvbioN of Sdk'. 1700 of rh. lrbd Codc I ildl. aonhwih s,tll'l, *irt tho* pmlirioN . <br />\\ tA\l\(i I tr]tr'. r, \(r'( \\{lL,\ (! trr! \ r, ' <br />( \( n.r ^I',1. i nrll $l,n\r r, (trt,1!\.' r, 1,trtr .11tinrki6 md <br />.iyil lin6 up lo onc hundr.d rhou$d drlld (SlUr,oOo). in lddn cosr .l ..tr,t{n\nrrtr,. (lxnrS(,a |'r\kl(l tu rhc <br />S<rb, 1076 of E t t r Cod.. inr6d nd rlon r'. f6 <br />6f-o r- l)rpplorr: f c <br />LtcalrolaMlAclaa <br />OEI'EAIIOI <br />I llqer dED u& lary of Fisy tr I n li.d '& FDviir of Cta.a I (q!!EiB $lt Sdr.I ?@0) of Divri..l <br />of lt. A6iE &d ttoti.r Codc -d oy ltc i b tul forc nd.t&.t <br />Li.@ N0mbd <br />(lltiri.t].Lfl!]!l};!Dlxlil{i[M! <br />I hscbr !flirrn und( Frlr) or Fjur) rhd rh6. s. condrucri.n kn.lins asacy for rn. Ffonnaf,c. olrh. {ork lor {hrh lht Fnir i! <br />isu.d(sfr 10e7.ci! c ) <br />I-c.dd'rNa',. <br />AITII(AILTEO.AAAIIO! <br />I hadt !trm und6 Fnilt ofFJury o of lh. Llloritr* del@lion3 <br />Domlihn PnnnlArbdo3 Noxli.lrFn Iat6rl R.*uhrhn. (1nt .l0. P.n6l <br />R.qun.J t6rq or r*{irrdio. <br />I @iry rl. iE liddrl 'rrlLrioB Esrd!,s .bdd lft\d e ,Dl +plt blc lo rhb Fjin <br />i+rar'.ond\ \ iall( "\ rnJ( orrr <br />N6oirhi!( er.l ( ,{! \n,6ndqrntlE <br />rx. -of-O\1) <br />t{\o<I,.ir't <br />II <br />I <br />MECHANICAL.INSPECTOR RECORD <br />I