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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENI'S OWI\TER BUILDER DELCARATION <br />I hd.try alt r uid6 0d!1ry olpqlory thar I e .xopl too tt CotudloB Lic@ L!$ lot tlE followi!8 teer (Se.?oll.t <br />BE,n* ..d Profeio, cod.) any Cny or Cou,ry whkh r.quic ! Frn lo otE o.1. .lla inprcv., dsmlish or t+rn sy <br />dDdxrc Fior ro ns islle.. .l!. EquiE lt loplicel for ruch Fni 10 6L r srgtEd slddal lh.I lE or rhc b lic6!.d p@et <br />ro th. Fovbioc oltl'. Contdbls Lic..!.d L.w (Ch.pl6 9. C.mnd.ing wiltr Setio. 7000 of Divtion I oflh. Buin* &d <br />PrcfsioB Co&) or rhtr lE or 3h. ie qdpt rlEcFom dd $. b.sa for th. .I.g.d daplion. Any vi'ldion ofselbi 701 I 5 b, 8y <br />olllicdr ro' a pdnir 3ubjrt rhc .ppli6r lo a ovil p@hy ornor morc rhD fiv. iund'.d dollm (5500) <br />l. s otr@ oflh. FoFrly, tr ny dplotE with w.86 s th.ir $lc @nposaioc $ill & dt w! .nd fi. ltrud@ h ml <br />idad.d or ofi6.d lm sl. (56.704.1. Buin6 ed PEfBioB Cod.: Th. Co.$..lc i LtoE kw dre ml ipgly lo D 0*6 oa <br />lh.FDFry pho hil(l or inErcG tlE@i. &d *to d(E xf,h Ni. hilMlf or h.ellot lhrcush hn or hd om dployc. <br />pmvid.d rh.l !u.h imDloEE ! m mt i'is'&n orotuld 61 5lc l( how, $. hoilitiry or ttrpm@l i eld wjthii oi. td <br />of @mplrbil tE ()'*M &ilda witl h6w tlE htrr,.r oaFovirrg d'n lt d lhc did mt hdd m i,qrDE lhc FoFly lor th. p!,Poe oa <br />L s oMs olth. prDpdy, e ddGivdy co.nd.linB $ith li..s.d .odtuou to co6lru.1 thc Fojccl (Sd 70,14. BNird <br />&d PDfBrion Co&: Tn. Conlh.ro. s Licd$ L.w doB mr apply ro e ownq olp.opdy*ho builds or impmvBlhson. <br />md who o E rs lor such Foj.cls wilh ! CoilJiclo($ licd..d p6o,,rt to th. Co rlclois Lic6B lr*) <br />I e .rcmpl und( S..li.r B & P.C for$is r6on <br />IABTE8S:COMITXIAIIOB <br />DECTdBAIIO! <br />I h6.b, Iim und6 podly ofFjury orc otth. lollowins d..ldatioB: <br />I hrE ari will mi.tro r Cqtiarai. of consl l. s.lf-tBuE for *ut6 conpdBaiotr s Fovid.d for hy sction 1700 of lh. <br />Lrbor Codc for fi. p6h!l@e ollhc wrt t r s'tth rn Fnn i! bu.d. <br />Xn vc md will isiilaio wortd omFMlbn iBllluc s rlquicd by S..lior l?OO of lhc Llbor Cottc, for $. Flmu.. oa <br />rh. wrt fm $hkh rhir Dcnir ir iscd My erl6 @mp.B6rion iNurM. 6id rd polky ndbd &c <br />-- I cditllbt in rh. p6fol1r@. oldE *orl for shich thi. F6n n isru.d.l3h!llmt oploy &y Fen i, oyn.jE <br />s s ro b*on rubjei ro th. w*d' coEFldion bws of Cdilodir. dd rgE tha if I Jrutl b..o,n€ subj*l to llE <br />worta' onpalrion FDvisioB of Sdbn l?00 ofrh. l$d Co&, I dull, fonh*irfi Nnply with lho* pbvnioN. <br />WARNINC: Fail!rc lo suc rort6 .osFNlrio. svdrsc is unlaBful 6d rhlll subjEl & dploF lo onit l Ftshi6.nd <br />civil fin* up to onc hunEd thou&d doll4 ll0o,oo!*ir .ddnion to rh. coi of compcelior. drna86 6 prcvid.d for th. <br />S.n'on 1076 oarh. ldor Cod4 im.d r.d <br />?- 7-TZ <br />Llc[!$aroNraAcraallclaSallo! <br />! h{.by .mm und6 pd.lty ot psjury lhll I @ licots d und6 pr.rision oach.pE 9 (ommdcins \rnh S.cln. 7000) of Division l <br />of rh. Bri.d ed PrcfsioB Cod.. od my liccM is u tuU forcc ed.lfdr <br />codirBt L(ltoNtElDltcAcllcr <br />I ha.by amm undd pcnally of FrJUry rhn lhd. L a.onsltudion Lnding 486.y lorihc Florrucc of Ih. rt'L lor *hichrhi. Fmi k <br />isEn (sN lL97, aiv c.) <br />AfTI,ICANLDTSAAAIIA! <br />I h.6 a!'m undd pdally of pdjury on. ol rh. aollowinS d*lrarions: <br />Dcdolirio. Pmns-Asb6rG Nolincarion F.ndal RcSuLtio.s (l ill. 40. tdr6l <br />Rcqun.d L.l16 of Notifi otior <br />_ . I csrit fid thc l.d6d rcgularioB rcradin! 6b616 rmo!.1 d. nor .pplkobL to lhn pFicl <br />I cslily Ihar I ha!. rad $is arpli€rion od si'i.rhar Lh. abovc infomolion is cora1. I lsle lo coddysnh tllCilyed Co!m, <br />ordinancd Md Stal. L,ws Ehlina buiHing conslrucr ion. ed hqcby adhori2. rcIr6otdiv6 of lhl3 aily 6d Cou ylo Gnl6 upon llE <br />!bo!. holio..d prorqly aor <br />,\ftl'!anr .r ,43ur SignrnE *", ?-7-/7 <br />Appliances <br />Iriletal 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 Duclwork <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 />Installation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release <br />FINAL v./l:lli+r. la tfrar*1 <br />" . A/2cd <br />"",,",*" J Z 4 c1) O /Z fZf.llO <br />-*r*'.LQ7 <br />Notes, Remarks, Etc.j <br />----l-----