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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.COMMENTS r)\\'\l:l{ tI .t)l k l)t..t r .rR,\ I l()\
<br />I hcr.bt lfinn udcr lEmlry .f r..jury thot I m cx.mpr tEm lhc Cdnra.66 Lk.ns tjw lor in rolowin8 Ea$n (Scr.ro]'] I
<br />Busincs and Prolcssion Codc): Any CU or Counly which Equn s 0 Imil lo onsltucl. alls. impmvc. dcmlisn or q)dir any
<br />{ocruc, I'itr k, irs issuftc, a\o rcqlids rhc upplk!fl tu slch ,emn ro filc a s€ncd (arcft rhor lE or sh. b |i...$d pumsr
<br />ro lhc prcvisions oflhe Conlnclols Liccnscd ti* (Cttrprcr 9. c.mmRinS *ilh Scclion 7000 of Divkion I ol rhc Burinc$ lnd
<br />Prcfc$ions Co&)or Ihar tF or shc is *ctrrrr rhseiiom md rtu blsn for rhc llles.d crchpion. Any violario. orsedion 7o.ll.5 by,ny
<br />0$lkltll forall.mt suhj*rsrh. appli. l to rcirilpcnahyofnor roGrMo urc hundr.d dollrs IS5m).
<br />l. $ o*er oa rhc pNpcnr, or my crplo}!.( sirh sdser as rhcn sb conFiirtion, *ill do tlE w.* nd rh. *llfu k ml
<br />inrcn& or oficrcd for solc (Se 1044. ausimss lnd Prof.siom Codcr TIE Conlm.tols Licnsc L3w &Es nor !r'!ly h !n orer of
<br />th. tsFcny who brilds or irpDB dEmn, a4l who dxr tuh klt hinscll or h.Mlf or ihFleh hi. 6 he. osn enplor.s.
<br />pD,idcd $al sucn impDwmnts m ml intcnd orofrercn ror eh. IL hoEE
<br />'lE
<br />hiihing or inpmwEd n $6 vilhin orc Fs
<br />ofoftphrbn. Ih Own( Builkr piu harc lhc hurdm or FovinB thli lr o, .hc di{t rn huild or irpmE rhc lmFiy ror ih. I[lpo* or
<br />-1.
<br />cr.wncr of lh. ,mpcny, am.r.lusiwly conlmcline wnh lhcnsd .onlmcloa lo onnEd lh. I,oj.rt (Ss. ?044. Busimrs
<br />{od EoaBri{ Cod.: Thc Conrmtor'. Li.cos Llw d*3 tur lpplr ro dow6 oft o|J.nyahn buildr or inr@wr lh.rcon.
<br />lnd *ho snrncl3 for such poiErs wnh a Coitnclo(, lie@d pursmr ro lhc Conlncrols Ltens L3*).
<br />I rmcnnpr utrd.i Sc.rnnr- B. & P c. nn thn rc.son
<br />YABtrEBL TMIENIAII9N
<br />Drct atAuo!
<br />I hcrctyaffirmundcr Fnohyof pcrjlryomof th€ followin8 d.clnr"lions:
<br />-I
<br />how and will oinr,i. ! C.nilE.le of Consit lo SdtlN@ to, s,k6C 6nyEnsli.n. s pmvidcd for by S.clior 3?m of lh.
<br />Lrbo! C.dq lor thc Ddfolrrec of rh. sqt lor whi.h rhc D.trn h issrcd.
<br />-l hlw ufld vitl minluin 'orkcN ohpcnsariotr inslranc€, s Bgukn by Serion l?00 or lht Lrhor C.nc, ror lrr ndformnc. ol
<br />U
<br />-l.crriay
<br />rhut in rhc ncrtorroncc olrhc srrk {o. shich rhh pclarn is is$cd- I shrl! nor cdploy{ny !.Mn in.ny m$rcr
<br />s * lo bd.m subi{r ro rhe }o*nc smr.nsarion l0ws .f Ciliroroi,, nnd t8E hd il I stnnld bccom subjNt lo tlt
<br />10*.6 snpcn*dionpmvhionsorscclionl7O0orrhctjt.Co<lc.Iitull.lodhvirnsmplywilhlhos,mvkions..
<br />rt,tjtnr r:
<br />llt;lltlJlc!)Nlaagaf,
<br />DICIA.BAIIAN
<br />I hcrchyrrftnu c!Nn,lryolltrjuryrhd I. lien\Ln uM$ trovtbi ol ( hrDtcr 9 (commncin8 x irh Secrbn ?(xx r) or l)irni,in .l
<br />of rhc Busi,,css rnd Pi{,fc\sn,is Codr, nid tyli.cns. n ii tullnncc rtolcflt.r
<br />b
<br />COISBIjCUQN'DIDING.AGINqI
<br />I henby rffum under Frrlry of prjury thd lhm is a omledon h.din8 tg.rcy lor th. Frf{llmE of llE wrk for qhich this ltdn i3
<br />issucd 1s6. 109?, ci!, c,),
<br />dTILIgANIIIECI/AAIIO!
<br />l ltirby lllm udd.r n.trrlryolp..juryonc olrhc r.uowin! dc.l,rtrrions:
<br />Dcnx,lirion Pcirnirs AstEnos Nolifiralion FcdeElRcrul ions (tillc 40. Pada,
<br />-Rcquncd
<br />bucr of Noriicdi,,n
<br />-l
<br />ccdiiylhd I halc rcld lhisarpliclrionaid (alclhll rne!h,ve inntrmlrt,n i\ c.d..r I agierocof,Plywnh.llcny0nd County
<br />ordinrrccs nnd Sr0rc t ws rclnrinF lo nuiuinp ffd hcrc$y .urhorizc rcprcsenrat ilcs of rhh Cny ud C.unry ro cmd u,bn rtE
<br />ahovc mntioncd lropcfly ror
<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 />Residential Range
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Fire Damper
<br />Openinos
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech.7/tz/t,(5\(-x
<br />Final Test
<br />Meter Release
<br />FINAL q/8ls ,VKr,
<br />Notes, Remarks, Etc.
<br />Grease Duct
<br />Drrr
<br />WARNINC: Flilrrc to sK *orlc*' comrensarion olcB8e n unhwtul. and 3hrll subjcct e cmplorfi 16 dinind p.mhis Md
<br />ci{l fines !p to ok nlndrd rhousnd dolles (llm.ooo). in sddnion to rhe cosl ofconpcnsarioo. dllEsca as tmvidcd for fic
<br />SNxotr 1076 ufthc L.rsr ODdc. inrc(n Md lllom, ' fa!
<br />_l ccni,yrhar rh. fcd.rrl rcgularionr ng&ding rsh{os r.nw arc norrrplicohlclo rhk rnrj.{r
<br />-^.,
<br />alzoltq
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