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MECHANICAL.INSPECTOH RECORD <br />APPHOVALS DATE o\lNER AUlI.Dl:ll Ll:1,( AnATl(rN <br />I hrrclrr rlfinn u.du pcnairy (n Frluiy lhal I oD crctnpi kom rh. (innrr(tm l-f,cn{ l]s l,n rhc nnk$nt tcnY{ rscc 7o.ll 5 <br />Ilu\ rr$ ,rr Prori*i({ C(rld: Anr_C y or c(rnry s hrh Rrtrnc\ i lr n h.onnn'.r. rlr.r, tr F'rc. ctrrnNhor rF'nrtry <br />n,!(trr. nir t) 1 i'\uuf,.. 'lw' rcqur.r rhc !rP,t rlrn.uehlrm k'l-rL!Umrl{ cnrir rh! lE!r \h. i\ lt.n{J jrur$lnr <br />n, rh( F.rnxnr ol rh. C.trrh.ktri l-icctr{d l$ r(-haptrr 9. (innnt'ttrrt rrh S!.rkr Tlrxrol I)r^x,. ] 'l rlf, llu{N* a.d <br />l'nrr.$r'n\(i d or lhnr Eor rhc n.rcr{, rh.t.lhmlklIhctvn\ n, rllilL[tJ.rfl{i[n Art\rlh['.ofS hn7rr:ll th,ai, <br />lnlh.rtrrtur r,nnn {hrcrrlth..pnliclnrt,r.i\rlp.nrlt}nlfrnmmrh4fitrhurkr Ltoll \r!!x)r <br />-1. <br />3 mltr oltlE FlFrn a n, GqbFr dh *.!E! u rlEi 3t otfotiain $[ & rh 5l .n dt irEnt i .d <br />hqit d d olEld tu .t (Sc..nX/L Bri6 d., Pionlir Ooa.: TIE Cdtdr'r Li(e tt d! dl Td, !o o ffi ol <br />lll FEFry rlb hilt d rryoE dEd! od xlD d€ idr Et iirErd lEclad inw|'l bL q nd o.n dll,F., <br />Frviiloa tt.l qr.! iuFlcEr. G d lrd aoabla ft..h- l( b@. dt hilt d bqreta h.U rrlic F <br />oadrpldd! d! OrE hdE da hE lE h!n@ oa Fdit dr ln d lE dl lEl ld! q i+n lh Fqcq 6. rlE FF. o, <br />-L <br />! ffi of G. FtFrr. D.rt iElr.ocat arn [.qEd .od.-tdt ro .o.n!El tb Foj.d (Sc. 7044 l6bd <br />.d Fot ir Co&: Tl* Coir-tor'! LiqB t r !t6 D. +?t, to d *6 olFlFry rb lofldr d h!.oq 64aG <br />.d rto om..r! ior ut FFtt rt6. Cdrra(r lhlri.d Fnd to llEc.ddd r Lj.@ lrl <br />_l d.Enrpl u*. Sdba- B. & P c lr rhit '!&n. <br />lr.l. OrFr llaxlilSsraufE]lllxx! <br />D};g.8&rrror <br />Ih.rrht rrltrtr,uhl., F rlr! !f p.rtury oft .l r lr n'lIiUn! ']& lJrri)n\ <br />-l <br />h.r !.d *ill Banhin r C.niftlr. or Consnl ro S.lt lnsur td ktrks omFnd i4 .r |r)vrlci fnr hy sd'x'n 37{D of rlE <br />lltr{ Caic. lor tlE nslftnEfr ol rrr $.d nn *h.h <br />'lr Flm k ishl <br />!(h!v. rnJ !'ll mrnt.h ".rk.F mnscnlrrhn 'huhNc.8 rcquir{.ly S..lir:l?(x) of rlt bh.t (ita.. nr rlE Frf()m(t ol <br />llt La sork.^'.onBtr! (r' trtrxrn .Lorl <br />6dz /o, t I - LoQn <br />I.. 'ryrhrr 'n rhr Frnr tr .r llhc worl ktr sh'.hrh^ plnn A <br />^nrc(|. <br />l\lu]ltror. ,doynnylx^o nn.f trrtrncr <br />\) r\n)t{.unf, {rb].crr,rh rorl.^ .o rFtr\dloi 1,f,(or(-rlinntrii. rn(li'!(. rhrr 'r In!(LI lra,,nr.uhn'(rn)rlr <br />nnrkd\ oo|[trlns !trn (un\ ol SLalii'n :l r(x) of rh. llhtr (,xle.l\rr,1l. n'n[sihu rd!* hth,y trr'^Ftrr\ <br />\11k\l\(; l.trl,r. i, \\n,.{t,1.). t,rtrtr\.rLi,in!.'Lt i nr,ll !,r,r.. r , ' L,trt,rL,\., rL, .'nnn,,L Jrr! rr: l <br />cMl firct up ro oE h!n,.d trEuqd .lolL^ (Sl00.{)(lo). in ddn eon ol.!n!lln!!rrtr,. ttr u!.r r\ Pn,vkhd nn llE <br />I br.trn u'na F@ryof Fi!, d.l n teld u& Fwibn of OrFa I (ffiq rtt S..ran rlml olDivLir 3 <br />ot dE aldB .i PEb6 Cod.. d d, lilE i h tul lbtE .i dt r. <br />71'1 r54 <br />| 6r.ftodaFrlroaFts ln. liar b. odEb. tldha {*r lt d! F6.@ oto! rqt b. tH tli. FEI I <br />L-.d (s... 109r. Civ. c.). <br />APPLICANT DECLAI{AT(IN <br />I lEr.t y lnnr ua,l.r p.nahy olFrruryorc.frhc ('lt,f,ing JNlrlrlrx,ii <br />lxtrr)lIion l,c.nns.Aih.{o\ Noiilf,ari'n Fd].ral R.SrhrnrF rlirlt &). l!x6r <br />,,_R.quikal ld.r nr tlt(ir$tirn <br />I (.rril! rhrt rlf, lid.rrl r.lulnr n\h!.\r.nxtrrlrd mr rttltrrhlL r! rh^ I't'tr(r <br />Ll..diryrh'r I tuw rcld rhh rhxrrlr,,lrrr tr|r.' kn,^(on.r! lxrrNr).Dnrlvtrihrllt ilrkl(rntr t <br />,{,,,.,rr, nn \r Il N!\i,[ ar] h.khy.urlrtri/. nn({trt 'ic\ n, rh\( it!_ dx,(irnlyn' $rrrB,nrh( <br />rl-(,u.,1-- <br />/- /6 z*o <br />Appliances <br />Metal 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 />Rouqh Ductwork <br />Venls <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 />lnstallalion <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rouqh Mech. <br />Final Test <br />Meter Releasg tFINAL 2 /lY/ ap)-e/{a / oq <br />Notes, Remarks, Etc. <br />COMMENTS <br />\A r'..n vf. rr rhc lahr (irlc. mrcrc{ rld rn.,m) .Ir-, \, <br />,,.,.: /' /1'zq;*"-,, )C---\\- <br />,,.t,.stuiu"uu^,.,,Iprcr rf,r narY_ / <br />L..*tu atd,Zc ?L.qz1t, <br />\t(-.-.- <br />-"a< <br />I rD/src.