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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporalive 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 />Toilel Room / Clothes Dryer <br />Residential Ran ge <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 I 0//4/la - <br />Notes, Remarks, Etc. <br />OxrnlEA EUILI'ET DEI]C IATION <br />I h6riy.flLn u,id r6.ly otFiury drr I h sdoF tDE rlE Colrrn{ Li(c lrr f.i tlr thlhf,ir r.-! (Sc.?orl!t <br />&rind rd Prkh Cod.): Aly Ci, o, Comy di{l tqri.3 . Fda ro @lnru(t .la. i'q.!rt &tuli$ d lq.i q <br />nnduq Ft loiE irc.lo,.qrcrh.nplin6.rdrFoilonh..isndlrralErfi.l!d{ralico!.dFlin <br />ro dE Fovit8 ofrh. Cot rrdt Lka!.d r.w (Ch.F6 9. Comtrirg wih S-rio!,000 of Divi.bn I of rlE Bdin-.nd <br />PEf.lrioB Co&) G rir llor rlE i'.rori rhadlo !d 0E b6i for rlE.ll8.d qarprbn Ary vbLrioi ofs..&n 7oll,t by e, <br />.ppli.d for. Fbn iubjd! rh. .pplidr ro ..ivir panhy otmr @crho nv. hurd'.d dolhE (1100). <br />-1, <br />ll o*nq of lh. FlrEty. or D, d9lora wth qrgs d rlEt bL onp6llbn *il (b dE *d od rlt rrl.te b lor <br />ir!6d.d o. o&!d hr i.r. (S.r.?oaa. BuiiE rd AllGsiE Co&: Ih. Codr*lq r Ltos lr &- mr Fly ro - o*@ oftllFF wto td& Ltg6ll.Er! -d dlo do. rdr ud.t li,elf or h6*lf d ftoqn hb q lE o*, o0brrr.. <br />Fovitdrtd !.n iltoffi G er irdiLd dotu 6..L lL torw, rEbiEi'B d hFwEr i bld sito c )t <br />of ..qhin tlE O*E A,il& wn bE !r hr&r of Fovir tl: h. d lE lE rr. biE c ir!.oE 0r FlFry tu lh. FrFcof <br />_1. ! oIG of rll FrFiy, h a.hri\dy .ort .ri'! *ih ltoEd conmd b .odruct rlE Ftrin (S< ,o4a. &!i@ <br />-xt Albi Cod.r ltc Corr-rof r Ltae try do6 Dr .r?1, lo a olG of Fopor, sho blil<h or i6pro6 rh!@o.rd eho 6 r.r, tu $ch FD.i..o ent . coffio(!) lj.o!.d F!r!'.rr lo iE Colf8rd! Ltae Lw). <br />_ I6.rmDl und.r Sclion .B &Pc f.r rhir r@o. <br />D.l. OntrF: <br />woxxEts'coMaa{saTlon <br />DECIaIAEA! <br />I hdrt, .rm cida F.iy ofFiu) oe oftL ft'0owir &.LrioE: <br />_l Lw d yill Eirr.n t Cari6.i. of Cocr to S.lf-l@ ft. wtd @rp6!ib... FoliLd &. b, S<rhn l7@ ofri. <br />1,6.r Co<k hr lh. FforilE orlh. wt ft( *ttt 0E Fnt a bel <br />I h!v. &d will hairl.h world cohp.Ellion iM..., a rcqon.d bt s<rion 1700 of $. ljtxr ( &1., for rh. Ffolriec of <br />compcadion iBlrft. .aEid dd polky nlmbn ft <br />y0 <br />-l.6it <br />rlt 6 rL Ffor'llE of dE 6.t hr f,ttt rhit FEi ii ir.{. I fill d dploy &t FEr h .ry ffi <br />- . ro t6!E sl*rl lo dE F @ onpq!.bi bs ofc.lafoni. .n iE fi. irl 3,Dold b6(tr ourct lo ir <br />F.td onEaldbr FDviid olsctir !?00 ofllt trt r Codc I Jrll f.dh*ili @nply *it ic FlribB <br />h|er u dnplo\.r to ririnnl poEhb &d <br />rhoosnd dolla (tlm-mo). r I 1],trn.tr.\ r\ trn\ (l.d r,tr r1r <br />ode inr6.c od .tlowy . 16 <br />I lE6, dIlo lnda pad, or Fj!., rha I d liqE d u!!dd Foviri,ri 9 (ffiils f, ilh S.dbn ?000) of Di\ itio! l <br />of rlE EoiE -d PDfirdo6 Cod.. nd ny lLu& i] n tu[ 6(. rn.ll..r <br />I he*,.rfnlnd!.rryorFi.ylt rtc-.6d!E!iE <br />irr.d (S... !09r, Civ. C.).la&.Nec _ <br />rh. p6foidc oriE $orr 6. stth rhi. FDt I <br />ldd.r'r Adrd <br />AIII"I(AdLDESABAIIA! <br />lhn{t.flimuftl6 podly of pqjur} onc ollh. folloEing d(lJdtunr <br />I).rnolirn,nPdmtu-Alt€tuNoriflcdrn'n l.n.!l R.*!lati.ns(lill.rlr. Prn6) <br />R.qutr.n 1116of lhifrdM <br />I cartftd rn Eda|l,tsuldb6 'Brdins dt rctlDrdGlbl+dE hlc ro rhb Foitl <br />_l .dit rllr I lnt rdd thi +dini rd <br />odina6 .d $4. t 6 Elila ro torldos <br />rtor. .Eli4d FDFIy 6r <br />L6 <br />7rm{t <br />'#"*"{l</r> <br />ioie m. (prin0:_ <br />I <br />I