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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER EUTLDAT D!T S TION <br />I lErty rn! ulda Dd.ly or FrBy $. I a qaqr too llE cdrr.d6 li.B L& bt rlE bllo*i{ lei (sd.d}lrj <br />BGi6 ed Froft.ih C.d.): r{., cny d cqrry ltth tqui6 . Frni .o @dE( .lE, i'FDva &&lil ( tF.i e, <br />orEi@ Fix to i' ir8q .ro FquiB tL rppltd b. *h Fhi to nl. . rb.d flon th. lE d JE i li.d F d <br />b ir FoviriD of ltE cdr'-rdt Li6!.d llw (c|t.F6 e. c@i.a sit s<riE rc00 of Divbbn I or dE BqiE -d <br />PruEsbd Co&) d tt!, lE s d. i q.4. ttadoo ed tL Lit tr. tlr tlb.d dar9rbtr Aly vbLiD of Sdlit ?01 I 5 b, &y <br />@liod 6r . Fni sbi..lr llr ,plic{r io . .ivil Friy orDr tuc E fre be.t!.| &Urt (i5m). <br />L E o*ffi of rh. FlFry. nr 6, mplotG wnb w.a€ c rlEir Fk onpcriotr wil &t tlE rut ird ErrdEir ml <br />iidLd or ofl6.d h..l€ {Se.roaa, Bui@ dd ProfdioE cod.: Tlt (o.rr.cln t Lt6c lry dt6 @l +?ly lo, olc of <br />llE pllp-ry wL toil& or iriFo€ $cEa ad sho dodrdr srt l lMlf or lE3.lf or loud hi! or ha.M aploy.q <br />pmvidd rh.r rucfi inF!ffit! e rcr iored.d oo,t rd trr $]. lf.lEl^!E,llE hlillts m iEFlvtrr ir rld wihb oE Jr <br />ofobprri'i. r,EOrc BuildE win hv. rl* hmtaofFsviil ! lE or !r! di! bl hild or irprow dE FoFly &r ilE F4o*of <br />-1.Bo{6orrt <br />!r.edrr. @q.t!iEly@e.cb3 sih li.d.d slrl-rdroddrEr rt FliBr(Se.7044. &.iE <br />!d EDt i! Co&: TlE Co'rr*rd., Lic@ Lr,.b- d +pt ro -ol@ of FoFlt wlE brikb or lryroc $@a <br />&d rtD @mdr ld rd Fojct *iO. Coi.ddlr) li.@.d Fmd b rn cdlr.6c ! tia t *} <br />?ir,1 <br />[!GI'EAIIq! <br />I hclby .tIm uftb Ddulry otpcir.y oE of$. folowi'B daknFd: <br />-l <br />h.v. .!d will Ninlrh r C.nilicr. of CoMt b sdHNG for @k6a compaiio[ 6 FovitLd for b, sdlioi 1700 otrE <br />L.bor co&, ror rh. Ffoflle. ol rhc ad for which llE pann i! i!u.d. <br />-I <br />h.v. .nd sill Mi.l.i. m m .onpd.lion illtemc s Gtui!.d by S.sion t700 ollh. trbor Cod.. fot lic patultlec of <br />rhc srt aor wnich th6 Fnn ir isld My sd6 @trFldion ilatr. .Eit ad FIi.y .MbG d: <br />PolicyNwbr: Er9i- <br />-t <br />.driry Ud is th. F6.De of 0r Eit 6r $'tin tni. FEi i nE d\ I th] Dr cqb, Dy Fro in .4, l!.E <br />F .ro t@!E Dli..r ro ri. *dl6J 64a.ino L*r ofc.libmir Dd {rE rlr itl i.dd bdlc sticr |o $. <br />Ntt6 ohpd.d6trFlviiEofsdib!1700oftt lrtd Codc. I Lll. ft.lh,ii 6i+t, wio Oo. F!vibE.. <br />WAnNING: F.il@ lo s@ krt6 omFEdbn ovstg. it 6h*tuL Dd trtl $br6r D srPbF lo cinii.l ,oli. !d <br />civil fod up ro oc h!.dr!d thoulld doll6 (ll0O,0O0). h ddiioi lo $. co! of.ooP.Nnior d!836 ! Fovid.d for tlE <br />('odq i a6t ud !fionEy ! 16 A <br />I,ICEISE.COIIAASIgB <br />DlCLtArIO! <br />I td6y .rEn uqb pa.ry of Fj6, ttd I E t.!d ro&i Flviiod of Ct F. 9 (@i!e til S.di6 7m) ol DniiD l <br />ot t[. aui.d -d ttDhir c.{., -d Dy la@ ir h tu[ 6r d c&i <br />carirBllcllll!ll!!ac.lli!!(I <br />I ha6y .rm undq Isdy o r pdiury thd lh@ ir. otr!.tu(rhr Lidins .rdy for lhc Ftffic of t srl 6r *hici lh! Pcna ir <br />i$!.d (sc. 1097. civ c.). <br />i llgJcaur-otcuaarq! <br />I ba6, .en u!& F.ly ol p.jB, @ ordE folosiB iL.lrriry: <br />Dao&bi ?ma9^$.r6 tlo.i6.rir tuad i.gltnbn! OhL ,O. Pn6) <br />-i.+ftd <br />Lai6 of faodr.rn <br />-l <br />.drit $n rlE &<b.l t adriod r.gr{i!s !t nc ,!mrd e tur +l..DL ro rli! F!t{ <br />-l <br />cdrythd I th,. Ed rhir lp?lirtion rd ndc Ulr thc.!ot! irfor ionir rtl. I.sElo ond, sii.ll Chy.nd Couly <br />odiMs6 .d sl.lc trq Etiry ro b{ildins o'*ucrio'! i'd lE hy .!lhori& EFGnriE of lti! cny .,n Cour, lo 6lc uFn llE <br />.. loth," L1 I t <br />tboE mdio..d pmFry for dp.dbi FrDd, <br />^-,'-,-^*ii.l--*Ii[Zy,@P@hem{Fii,, 'R AUc ttt. l; e 60 /-,j <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 />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residentral Ranoe <br />Other <br />Hood <br />Type I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openings <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release IF|NAL q////Z 2k l+t1 <br />Notes, Remarks,'EtC.L/ <br />lnstallation <br />tttl