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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Appliances
<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 />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.dh,/tn lr/hcfin-an/
<br />Final Test
<br />Meter Release A
<br />FINAL
<br />Notes, Remarks, Etc.
<br />orYNcl Eullrtt DElrananoN
<br />I h6.!t .mm uldd !d.h, of FJlrt lhd I s q@pl toh th. Cortncr6 LkaE t e for tlE tolLwlg i@o (Sa 7011.5
<br />Bsilg !d Prcft.lbn (bd.): ary Cny oi Couity wtich r.quir6 ! Fmi lo olgrucl, .Xa, inFovc. d'molih or lF.n try
<br />ii.![ . Fir lo iri illec .!o FqriB tlE ?pli.ar for Bi Fnn lo fit . Biri.d rrdta! &. lE o/tE ir li.d.d F r,.
<br />io rlr FD6IB ol rln Cor..-ldi L(6..d rs (ctn 6 9. CoollBha wlh Sdrbn TOOO ot Oititio! I of tlt &1l!B &d
<br />PDtabB Co&) a 0lr h. d dE . qoi tl'-6on .'d |tr l-ir for dE .lLs.d aGi4ioi tuy vi,hbn ols<rb! 70! L !, E,
<br />.rplicu for. FEn tuU6r! rlE @lic.tn ro ! civil Foh, oamt mE lhs fiE bu.(H &tlsr (1500)
<br />-1.rwoflt
<br />F$pdr, or dr.npbr6 wtt \rt6 d Ocir sl @E @.ioc wi! & tlE sdt.rd r,E 6'dr i ol
<br />i'rad.d d ofiE d tur.l (Se7oa{. B6iE Dd PDtsioE Codc Tlt col'rcd t ticc t3 &- @l +9ly lo n olE of
<br />ll.Frqty lt6h r d itFoEdE-( -d *tE &- -dr *t hnerd brlf d dlsal hi] t hr o6.4t )c'
<br />Fovilcdrhr r,G! nryo€dGar irqd.dcotu.d a.-l l( how.lt h,illt (aq6@ i-ld wftEJd
<br />or. ryldi'! ds ovE Buil& *fl hE tt hrbofFovtt tr hcor,rdrd er hildd in?mdE FlFry &rdtF !6.of
<br />-t.ro*Eoftt
<br />Fo?at . debi€lrodxli3 wit li.@.d<omldlo66Er th.Foi( (St 70a,l. Ac
<br />d A!&i! Co&: It Cofi.cd r Lkd. trr d€ br sgly ro - ooG ofD.olqly *lb toildr d r!C.o€ $a@.
<br />.!d *tb oirtl! ft. Bt Foi!! wnh. Codtxro(r lid Pl!f,rd ro rhc Cdr.6dt u6E t *l
<br />-l6.xdpt 'E& Sct
<br />laEaE&Lq0!4fENAnO!
<br />DECLEAIlq!
<br />I hd.t, lrm udd pa'rh, orFjlry oi. of rh. lollowiis &.LrdioE:
<br />-l
<br />h.B !d sill di.r.r' r Catifd. otcoGd ro Sdr-llre fa sdl6a drFu.rin! ! Fovit d fs by S€&o l7@ otth.
<br />Lbc Co<L, &. lt. Ffl,ur. of dE wt 6r *,tit dE FEi i' iEr.d.
<br />-l h(. id Bill minl.io wdto @6F!dion i6l)tuc ! Eqlind b, SElion l?00 of lb. rrbo. Cod.. tu llE Ftj.lle! of
<br />th. *orl for whth Oi',chh b is4d M, mrto conFlnioD i.u,rc. did !n poli., imbc G
<br />P6li.yNuGbG: E{is
<br />-l
<br />ceiit t l in ttc pcfolrtry. of fi. wort fd vhich thi! Fin i! b!ud! I !h.ll nol dlploy 6y Fon in uy nl.,@
<br />- Bro t coft stidr !o rtr €fid'oopodb! L{ ofc.libmi, e.l rr $r if t rt uld hclc Dtlcr lo$.
<br />*!ri6 6!p.Edbd lolti(E olsdbn 1700 of llE ti.. Code I fill tudlutt (dd, sth rbc FoEiod.
<br />civil nn6 up ro on h$dr.d thosdd .toll6 (1100,00u). in .ddnion to lh.J.'n.!.\ r! f'.\ (11,1 ir rrr
<br />i q.3 ld.flon*y! fc
<br />IJ(I:}U2.!'!II.8,.ILIA.8lrdli&Iuof,
<br />I hdrr, .rEo 'Edd F.ry of Fjiry tll I 6 |ia..d u,.b FDvi.ir of Cb+td 9 ((ffiiis wilt S.6b! 7@0) of Divi.i(t l
<br />or th. lui'.r! !d IrD&1iE co<k, -d o, licc b b tull 6c -d.&.t
<br />rc.urB(-ua.:laua{rJir}!l
<br />I tdlby.rfm und6 Fit,t, ol FJury lhi lha. i.oado<lbi tldii8.8@y for In Ffffi of th. *qt br whth tlir Fnil i!
<br />i33u.d (se 10e7. civ. c.).
<br />LcdE r A&6.-
<br />Attucarl.Dttl.aaA3a!
<br />I hrdry !fiin u& p6rly ofpcjury on. ottlE folbwi!3 &(lrrlioN:
<br />D@okbn Pddire^$.ror Nori6.ib! f.dErl R.$h bE (Tnl ,m. Par6)
<br />-R.q{iEd
<br />lasof tlorihin
<br />l(orLlrl[[r[elol.l,rltrurfurk]r!'.NrJtr,tis[:r\'.nr\rlJrf,i 't)t,
<br />r(,rl]l.ri rln'1,'or.ar
<br />-t
<br />Gtifr rht I hv. rdd ttri +pliti.n nd rdc th. d..bE btrErio! i cdrEr I {rt lo $n9lysitt.ll Caytld Co{ry
<br />o{ine6 di sr'l. t E EhiV to hiildlB @re!dio4 EFsriir6 or lhi' Cny rd Co
<br />.hoE Edio..d PloFry 6.
<br />Applic&t n Agdl Siedt8l
<br />Pa6ic !@ {Fir}_
<br />II
<br />t?E&t
<br />Metal Fire Place
<br />6-z-o-11
<br />I
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