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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS ()\lNl.lR BtrlLDl:R l)tiL('.{RATION
<br />Ihcrcb)_n(nnru.rnNlry(nnoltrrvrh[Iin]dcnDrlN rhc Conlmc[)^' Ltri\r l-aw lin (Itr li']ki*ing rcr\oi lscc Trrll5
<br />Ilu\n.\\ md Pn,fc\\i(r Cod.): Ant Cily or (inrnry rhi.h rcqnnr\ n F-'nnir r" .ntr{nrr. rllcr. imnrrK. .nx,kh ,{ rq' r\'
<br />nnr.rrtrc. Drmrt, ilr r{urndc. rko r.qunc\ ihc rr .r r ny {kh trnrf r',]lc r Uncd nrrcnf,nr rhdr lf,or stu n li.cn{d Nr{ixnr
<br />h rhr l(,vtrn \ of rlk Conricrni t-i.cnr{l lnr ((hrnrrr 9, (innnr .nr8 wirh Sccriur ?{xX) ol Di!niinr 1 ol rh. t u\i,rc\! rnJ
<br />E li\{otsC.n.)orrhrhcrr\hcncrc'htrrh$.[iorrndrh.hn{i\I'nrhcrlllMd.mfn,n iyvt'hnnn.lSccrirt7o.115h]"rny
<br />!pIli.rtrrntrrIl.nniriuhr{.rsrhc rtflicrnrr'r.ivilI1cn!lryoioolfxrcrhri lirr hutrdrc d.lhrl(S5lx))
<br />l. r\ o$ftrofrh. nn)|tny. or trrrcnrfl,,r.\ siih $rac\ \rh.irv)h.,trnt{triri' .*ill(krlhc$orlxftlrhcjtulurnGi
<br />inrcn(l.d.r.lltrcllrhrwl.ls.rT(I1.1.8trsk\\JidPn,l.\no\c( c rh.('onrr&nr'\li.cntlrlNdoc\nr.nllvhrn.trncrol
<br />rhrnn)Br$lk)tnnll\!ni'nrr(r.\rh.rd,.rnlrho(ld\$rhs.'Ihi'n\.llorlthcl,.rtlmuBhhnorhcrornc{1,)rN\.
<br />L as owE of rh. Intcd y, rn cx. hr! n c l, ronlm.lirs tr iih l'.rn\cd .ohrr rhB tu ()nnru.t rh. ,,,*tr I Sct 70,1t. Bu\i't\\
<br />nRI rh,(a\nn(-,i. llrCorrrrcttr \ l-icci\. trw {bc\ R, rlnly!' rnornd olrop.ny{hn l,uildsor fro\c\ rhcrcon.
<br />nnd $ho ( rrknn \u.h fnl|rB wirh ! Conthcrrn O liccn$d pu6uanrtr rhcConrr.ttr r Lftn\c la*)
<br />I m.ftmr ud.r Sclion .B.&P.C a.rrhilE.sn
<br />laSxEEStgllllENSATT!,tN
<br />DESIABADO!
<br />I h.Rby aflirm und.r Fnalrt.f lrrhry orc ollhc follo*in3 d.cLtrioor:
<br />l h.!r.M *rlltruinrinr (rnlljcrr.olCoD.cnrh S.lf ln.urc f,tr *urkc( ( l{n\nli,nr.r\ Ir)vnhd r(trhtSc.rir '171x)nllh.
<br />t rh.n (irlc. inr rhc ltrk)rnDrc of nE *ork tu u hich rh. nc.nir n ir{'c,l
<br />rhc *o lin r hi.h rhi\ p(nii i! i$trcJ My qorkcn . {tn\ifotr in\urum. crri.r r lxllicytrtr$h.tnru
<br />Pi,licy Nun, r:- Frttrc(
<br />I..nift lhul in rh. pcdorrom. ollnc*ork f(n ehichrhn p.rmir n isru.d.l sh8llnol c'nPlo, an, Pci$n inany'n0nncr
<br />e s ro tEcom suhjsr ro rhc workcB €nlp.nssoon lawr orC.lifomia. lnd 08N rhar irl \kuld t .o.E subid ro l,t
<br />*o qa comn nsrion prolisionr or sdion l7m ol rh. tihor C.dc. I stEtl. fonhwirh con ly wnh 'h.c nmvnion!
<br />S..rnr :1076 ofrhc L.tnr Cqlc- itrrcrcn "i#,:\ ryttntorr
<br />UCENIEU(QXIITSIA,E
<br />DIS,TAAIIIN
<br />Ih.r.hy rfinn undcr icnalrt olFr ryrhdI.nli(n{dund.!nrovi\i,)nofChlPrcr9(.onnmnunrfqirh
<br />ol rtu Bu\ims rfrl Pn'rr$i,ri\ C(xl...M n1y lr.tr{ i\ ir lull l'trcc nl.ffc.r
<br />CAISIf,IJI:IIONIENIIII!;.AQIN.II
<br />i\\rJ rS.. llrr)7 ( iv ( l
<br />^Itltt NLjJEIL &u.&!
<br />I lurhyiltnrun,l.r |trtrnlly oiJrcrju,y otr. oI rhc tull,trvi',9 Jrcll'xriff\
<br />l)rnniliri,)n l'c'n,ir\ A\h.{or N'Iili.di(n trdchl Rctulnri( r'rnh,lo. I'rnl,)
<br />R.qumd tx(cr ol Nohll.dirl
<br />le. ilyrhrr r[c n.(b'r] rcgtrhrr'f. ruIUdtr'g rnr(or 'rnn^,lr. Li rl,t'l.rhl. xi ihN nn!..r
<br />orditurc.s rtul Sidr. Ijwr EhrinS !o huitling aJnhcrchylurhoriz.rItreknr iv.solrhnCilyandCounrynrdr.rufxrnrrr
<br />rhrc nrnri(nrd F+rny n,
<br />Altl'u r.r Atcnr Sigidrurc
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />It/isc. 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 Ranoe
<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 Helease
<br />FINAL Tfie/r9 .(a/6.)
<br />Notes, Remarks, Etc.
<br />^.,1r/t-/rT
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