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APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <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 />Residential Ranqe <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 <br />FINAL '7 -5*t1 XXW4L\ <br />O\I NER BtIII,T'ER DEII'ARATION <br />I h6d,r amm un&r p..ahy of psjury lh.l I m d.mPl froD rh. (nnrdoE l.rcm li$ tor rlE folL*in8 rN. (S( 701 1 5 <br />B6'ns 6ri Prof*hn Co&I ny Cnr o. ( qr!r! $h.h ra|unc . Fni lo (rdtud. .h6. imPro!. ddDlirh or EIrn ey <br />iNduc ri, k, i. it3im.. iEi E+i6 rlE plkd for $ch Fnn lo 6k ! st'r.d ridE lhn h. or rE i! lt.tMd I'o.$!r <br />ro rlE Forsirr of rlE C.nr*rd. Ltdsd lt{ (CtuFd 0. (-omn.rmE silh S.rl.n 7mo oa lhBbn 1 of rh. BGI.s M,-r' <br />PflrLsio aodc) or rh.r tE or rhc ! crdifl tt6.6om ud th< t s's hr th. .ll.!.d .rsrFion Aryriol,rbnofs(.rbn?0ll |(t,lnv <br />apphcrnt a6r . Fnnn 3ubjdr lh. il|pti.ant kr ! .ir il ,.elry or mr no.. rhtn fivc hundr.d d.lhr. I ttlro ) <br />l. - o*6olrlEFop6rr.doy@l9brEwinr.a6.lhir-L@|F6!iia w .r,o.rdt.dllt,lrrGid <br />itnci.d o otu d b. .L {S<.rfia. BBi6 ald FrofdioD Co<lc TIE (.om-r6 . Li@ l^ &a ftr +1, lo - otrG or <br />rh.F$Fty who hrld d irq.lB dsa -d *tD &- rd! @n hiMllor hself or lhor!! h! d ha om dplorq <br />FovirLd rh, ru.h liF.qclt c rDl ir.dd dotu &. rL t( ho*s,0'. hldnB 6 iF!€td t 5ld wthh tr )t <br />ororTlai.adnord a,tE eO bEdrht{dorFditdr h.dtE(E 'd hdd(iqD*dEFtF ft.dtFrrcot <br />ud o olr.*r. f6 mt F!j.* wib . co.r3dl.) li$.d F,'!d ro tlr <br />I e .rchpl undo s..ri,f, <br />A"+4--1 <br />-lbrdsill <br />idir. Ccrittr.of cor6 ro sdlnEc ft. rrfa'@r?dbn r FoliLd &r b scriE l7q, of llE <br />r-&. Codc. fti drFforffi ottlE 6l tu rlttl' {r Fia i nrrd <br />rhc\Nltur\hrhrh6lmnrG,\{,!rtl\l\{.'1.\'q.n,rrnsir'.ninqri\.(r'r'o rlF,l'() urlsi'c <br />I .dify th. ai tlE Ffo.tlre of lL *t.t for shkh lhit tEti ir isr.{ I t|ltll ml dPb, o} Fn i! rnv ffi <br />F .lo h.or suci loltE wrla o,@rhn hs oac.lifr'mil &d ..Erhr ill tltooEba!trltitl l6llE <br />mrld'ohpqrdionprDrtioBots<1bnlTmoflh.llldCodelrull.fonhsilh@hrlrEnhtho-FDvtb .. <br />civil fir6 up ro oE hrtu llErd drlls l3 ,OO). ii rddiih lo l,t ..d of .oltD.Edb( &836 . FotiLtl fd lt <br />DICIJ8AIIOB <br />| ffiy .llm uidd D€rly of DajBy tht I h lits!.d '!d.r FDEbi of Ch.dd e (@ffiilr wnh S-rbn ?000) of Dilsion l <br />oa $. &!ir!i !n Prlfcb6 Cod.. ,.1 E, lioE ii i! tufl 6d id €flEl <br />tr{'d (sN 1{f)1. ( r\ ( } <br />t6J( ! Addr6r <br />AII!|!.E!.UIIICIASTIIAT <br />I lEd,! allm und., Fnrlrt oa Fru.! on. oa th. folhn inr &{l,d nn. <br />l)oftn i.n Pdmir3.ArirnB Noltfi.llrn f.ds.l R.suldn)nr (lrl..rlr. PlnA) <br />R.qut€d l.lld orMtfrdi,n <br />Esldit3 !b6l@ lfu\.I a. .d +ditbL lo dti FDi6l <br />I i $rrr rI ll'c xh^. i',fitrtr,r!ri r.onNr l )r'.!t).otr,r)l\ \ [h ill ('rt xtrJ (iun <br />ot rhit Chy .n Coutny to .!rq qF. llE <br />Af|t],., r, A(.nr S ! ir (*,g/ I 5 <br />-t;i);;; <br />W t ll, {4\j <br />(/tz1 zt <br />Notes, Remarks, Etc " I\7 <br />MECHANICAL.INSPECTOR RECORD <br />Evaporative Cooler <br />Furnace <br />I h(.by amm undd rdalry oltEl'r.v oN oflnc <br />4{@-