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MECHANICAL.INSPECTOR RECORD
<br />APPHOVALS DATE ID/SIG.COMMENTS
<br />Appliances
<br />lri,letal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />'-Z)2Compressor*1-2t't8,,)
<br />Ivlisc.Equipment
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rou gh Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Bqsidential 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 ---.'-,?t'> )ffitFINALv-zt,rg M842,-
<br />Notes, Remarks, Etc.
<br />OWNER OUILDER DELC}RATION
<br />, hcEby a,Irm unds !.Elty of Friury lhd I m .r.mlJr fom rhc ContB.roF Licctre he for lhc rouowing Easn {s6.7011.5
<br />susincss md P.6i'c$ion Codc): Any Cn, or Counry which Equires e lqnit ro @Idrud. .lrcr, iryrovc, &mlish or rltun uy
<br />slEchrc. Iri, lo ls issuma .ko rcquiEs rh. rprltad for s!.h Fmi ro filc a 3igncd sritemr rtur lI o. ilr i liLc.s.d l)trrNor
<br />ro rhc povisions ot 0E Conmcror's Liccncd Lle (Ch!flc! 9. Comncncing wirh Scctiotr 7000 of Divisior I ofrhc Blsincs end
<br />Pmfcssions Codcl ot rhll tt or sh. ! crcnp UcEfrom dd lhc h!3i\ fo. rlc allcgcd.rcmtrio. Any violark nltf Sdirn 7D! r.5 by ao,
<br />el,plicanl for ! I,crmit subr.r1s tnc amlic{ lo r.ivil p.Mhy of nor ma tui nvc hu.drd dolt8 (t500).
<br />l, {r owftr olirb poFny, or ny cdplotEs sirh wlges as lncn sb con cnsdion. vil d. tlE wt !n dc $rErw ir ml
<br />inlcndd or of.n.l for eb (S( 'r0d4. ausiBs ed Fnrcssiotrc Cod.: TlE Conhctoas Liens tjw &cs nor .ptly b m owmr or
<br />lh. p,sFny whoh dso, iilmws dEMtr r.d who dc sch tu.i hinsclf or h@lf or lhmlgl his orhrosn cnprorr.s.
<br />p,ovA.d filt slch irymrmrrs @ rcr hrcid.n orofisrn for eL. If. horfu. tlE tlildill8 or in!m*m'n t eld slhin orc jid
<br />ofconphlion, lt! OwEr Buitcr will haE inc hrtcn ollri.g tltsr h€ or slE dt mi hild or in{mrc thc ptlpsly fo, lh. purpos of
<br />-1.
<br />!s owmr ofth l,mFny. m crclNiv.ly conracrine wirh lkcn*d co rc$R r.onnfld lhc pmF.r (s.c. 704.1. 8usms.
<br />{nd Pblcs\ir Coner Thc Conr@rol s Liensc ljs dds mr sprly ro an osncr of phlcnt *ho blilds or idpmvca ficren.
<br />rnd *no snrBds ftr slch pmFls wnh a Conhcro(, lttn$d pB@r io rh. Coffacrdt Liccns t w).
<br />_l am .rcr,)r uMcr Sccrio
<br />!ABf,E8S:.C!]!IIE!IAIII)N
<br />IECIAEAIQN
<br />I hclcby afi.n und.. Fmhy or pdlury ohc of rhc rollowing drl@rions:
<br />-I
<br />h!* rnd will minlli! i Ccnif@rc of Con*fi lo Sclf.ln$G for workni .onu.nssrio( {r Fovid.d t6r by Scdh. 3?00 ot rlE
<br />t b(r Codc, for rhc l,crfomn.c ot lhe qork for whkh rhc lEmir is issucd,
<br />_l h,v. ond eill N,inroi. work.tr .oq)cnqiio. iniuBr.. &r i.quted by Ssr ion 3700 ol rhf Ltb.r Corle, for itE pcrfo,IMe oa
<br />lhc wolk for whkh lhis pcrnil Ll irsed. My worksC compcnilrion iniurrn.c .mif und Flicy nlmb.r el
<br />-l.cnifythd
<br />inthc pc olmfrc of lhc worl lor which rhk p.nnir h hsu.d, I shall nol enploy rny p.ison in lny mMmr
<br />$ ar ro liclm sobj*l lo Iht workc6 odF.nsdion hus ofcllifomi( lnd l8rcc thd if I should t {om subrc.l to lhc
<br />sorleN.orpcnsti.npmisionsofScdionl70oofrhctltnCodc,Iddl.fonhwirh.onl,lywirn'ho*Fmvisions
<br />WARNINC: Failurc ro ccue
<br />civil 6ncs up ro onc hundrcd
<br />sork tr .onp.ndi.n ovcBs€is unhwtuL Md lhrll sobF.r d cnplo}tr ro dini.rl ,Er
<br />sddirion ro rl.c rqof on'pcns.rion, .hmg.r a! pDviicd r.r
<br />'hcuX+d---4^ t -*"t
<br />{x(_../LJ(IIII]ISJ.NI3A!IOts
<br />!.2rcltB ilQI
<br />I hcEhy rflirm undcr FMllyof lhlr I !m li.cnr.d und.r rftvhion ot Chtrprd 9{conmftiog wnh S(|ion Xno) ofDivhion l
<br />4g Lo-zo
<br />1
<br />I hcEby lfrtrm undcr !,cmlly of lErrury lhrt
<br />issucd (Scc.3097, Civ C.).
<br />bnding a8cry r.r $. Fr(.,rr1ffe or lhc sork lor which lhis tmn i\
<br />A.SfLlCilNLDIilIAAAIlO!
<br />I iErcby a,[m undcr pcnalry oifcrjury otrc oithc fol].Nirg d..l,rarnN:
<br />Dcmliln'r Pcnnils AslE\los Nolilicaln'n l:edcml Rc3uldnnr (Tirlc,l0. P.n6)
<br />RcquircJ t. uoINorifi.ri0,
<br />ioo\ mxrdins !\hcdos rcnmul rrc trol !rnlicahlc tolhi\,'roiccr.
<br />inaomlion is.ocl. I rere ro smrly wnh.I Cnysid Counry
<br />oflhis CilyDd Counlyto cntcr uron tlE
<br />h.- *. 4
<br />1q Tr
<br />I
<br />Duct Work
<br />or rhc Busituss dd Pmlcssionr Codc. ud ny licctrr h ir tull lore and rlfNr.
<br />h
<br />f ----T_-----
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