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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 11," ttt-t( I ),(,Jr'i <br />lnsulation \-/ <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer l'1,t0,10 -t)c9"b(ts ) <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 ,4,)k"NdFINAL-zlt{lo', <br />Notes, Remarks, Etc. <br />I hattr.tlso ud6 Ddli, olDqiry lni t n q.a. 6@ lt Cd!E@' Li@ l& itr tlE f.lb*iB ,e' 6e mllJ <br />BuiB !!d Pr!&db! Co&): ^,, Ciry d Cqdy yfiit .q!iG . FEi ro 6dru.r, .la. n4.ovc &Eliti s r!? i Dy <br />rru.tuc Fbrro in i$4., .bo Eqqir!, tlE ?plic@r fo. iu.t FDi lo 6b. rirn d stsEn rtld lE or tL ir liGt!.d FDd <br />to dE Fovirird of dE Codr-ror'! Lt@.d Lte (Ch.F6 9, CotffiilS wni Scrio. ?000 ol Drvnion I of t EuiE &d <br />Pt!&-b6 co.L) d lta t d d. a s.4r ltattr@ rd lh. t-i tu O..&8.d cl4riE Ar', vbhib of sciiD 70ll I b, oy <br />.pplior tu r Frt $bi6tt tL ?pli..d ro..ivil pdry orbr rcu.. ft!. h!&.d &!-r (1500). <br />_1. ! .'9G of llE FoFry. a ry @,pb,6 wih w.g6 - rh.i oL oErdir. wiu & li.6t dt rrdGi @l <br />nd aotu ftn -L (Se?(,.4, Brd6 !d Pbbnr Co& Th. Cofi-ra.' Li@ lrs &a Dl dy lo - ord of <br />rlEFDF, *ib hi!! d nFN r,EE& rd wlD dc rdr slt biarlf 6 tardfo, 0muai tit d h6 om al9Ly!.., <br />Forid.d ttd sh ttlFoEEl! E Dl ii@d.d do&ql &r.t- l[, ho*lrE d* hliLtin8 d i,nFoEEr i eld wiuti! om ]q <br />of.dqldiE rhc ol,E B'dldi *i0 hE lt. hllb ofFdt dr tt d ir dn rd htild 6 irylE rt F!?oiy 6. UE FlF.of <br />-1. <br />a o*E orrlE Fr96rt. 6 qclNiv.ly oilr*liu wnh [.a!.d odn ior to @rEflcr rlE F!j.d (s... 7044, &d6 <br />r.il Fotri! Cod.: TIE Codr-Io, . Li..4 t * &6 Dl ?p1, h ! osE ofFoFry *ho hild! d lnFoE ltd@r <br />rd *lto ffirft. rrtFoin *ilt. c.nEal!) li6.d pE-r io ri.cod-rd.. li@ try) <br />I an.rmpr u.rLr sdrnr.tJi"Iiw <br />tqSf,raE.(outEdtarq! <br />t?'ta,rL*,,-, <br />DICIJIAIIO! <br />I e, .triE ulda pdty of Fji, E of tt Slbvit dclair: <br />-t <br />hE ad wil, rhr.b. Cari6cr. of Cord b S.lf-ti,s f!.6rd'6drd.io... Fovid.d tor !y Scrto! ]700 ohlt <br />t bor Cod., 6r Ul. Ft r!r.. ortl. sdt roi *ti l tt FDr i iil d <br />tgr* -a -rr -ir.i *-t- oa6rG rnsg . ,!qri!d by Scrin !?oo ori!. (r.r C!&, br *. Fft.ffi of <br />i[. *dt 6. *tEh rhir Fri it i{.d My *qtd oop6dio! ,E! srb d pol,.y .@ba R <br />c-;-, t:tt6'Q,e€ rutgti6p*t-. <br />paq'..**,1frD tb 4t7l--Q, t,(o <br />-l <br />cit thr ii rh. Ffotl!.E of rhc $!rt 6. rnti ft. FDr ir is.d. I Cdl 6l qryr't .Iy FD. i! &y re <br />b r ro t@r ati{ b tlr sqtd'dtrpqdb! Ls ofcdifrlEja !d tElnl if I $ould bco@ obd ro tlE <br />wo 6' @opardio. ,tuvi.i.d olsdhn 3?@ ofrh. Llbor Codc I .lrl!. &ith{dh 6dpb *nh fto* prvbb6,. <br />ro oe h!i<lr6d fio@.d doll6 (llo0.0(]o). in rddiFn ro iF od of@mFqrion. drh!96 s Forid.n tor th. <br />SGrio! 1076 ofrh. Lrhor Co<le ior6ld &d dlo.rE, ttL,tl t? <br />U(Ersrl)_(0N1ttd!IaaDl:(tdaara! <br />I torar .fl'ra u& pdly ot FiEy d. I - t d @& FovbiE of O!F. 9 (@irt *il} s.aiD ,m0) of Dndhn I <br />of ti. BBIE !d Prclt-i6 Cod.. !.1o, U.dG i! i! nrl bc r!.l.rEd. <br />B ?p(tq€ <br />t?r1 rT <r <br />(aruai,&rq&I!:!&.l!clcli!(} <br />I hd.6r_ .rfm undd p6ihy .f !rju' r_ rhd ds. ir r one tu.lir. loldr* .r*y lo. lh. FlollMcc of llE *o.k for $hi.h rhn pds n <br />Bu.d (s6 1097,(iv. ( ) <br />t.n.Lr'r N!m. <br />arrl-Ic^tl opcr rQAT(,{ <br />I Ny.en!n(b Fdiy of Fj6, oE of lb folbvila &.EriE: <br />Daohbo P6.ie^!t iq N,otifidb. FGdd.t 8..rdrkr (Tilh 10. Prl6) <br />_RlqqiEd Lalqof Ndi6.ri. <br />I cdiry thr rh. a.da.l r.gdaiE ESdinA abdq r.or.l !. flx +lt.bL ro rhi! Fojrrr <br />-l <br />.diry dl' I l*c 6d rhir.rpltri.i !d nd.lh, dE *06 iofo.n i.n ir.n<r I lsc ro 6ndy sth dr cny.tn codry <br />odiMc6 rrd Srdr. L.s ElrilB lo tdldins .ordrcrion &d lElty erhri, rcF6d div6 of lhi! Ciry !d Coul, to d 6 uFn llE <br />.tov. ndrbr.d FoFry 6r <br />Applicd G AB@t S'8@E:fur-97u@ <br />h", Lz,t9', l+ <br />MECHANICAL-INSPECTOR RECORD <br />I <br />I <br />I <br />I <br />I <br />I <br />utl <br />\ <br />I <br />1 <br />"61*