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APPROVALS DATE ID/SIG.COMMENTS <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 Ranqe <br />Other <br />Hood <br />Type I Hood <br />Type ll Hood <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 4 I <br />Meter Release l- lt. <br />FINAL ')/ //t / ff <br />Notes, Remarks, E/c. <br />OWNEN BUILT'ET DEI.CARATION <br />! h.!by.,IrE urk pElXy of diu.y rtr I d a.qr tlo rt Cdrr.crd Li.4 t* tut dr 6lb{ia lE&n (Sa.roll.5 <br />&ui6 d P6h.iD Co&)r Aly Ci, d Coocy $tth Equilt t Fri lo 6nfi.l' .lt, i4.otc (blitt d i?.t ry <br />!t!Eru!. Fir b it ime.. .lo Equi6 tli +di.d for n .tr FD! b frh . '{r.d rratd rhr lE d i._i ld F $n <br />lo th. Fvbiou of li. Co r&ld t Lieuld L'rw (CLEa 9, Comdi!| ern Scrntt 7000 of Divilbn I af th. Bui!9t ed <br />PrDfr$bd Co&) a rhr t d rt i ad4l ltdrioo.rd $. hil fo. {l..lb!d 6dFir. Ary vbLi@ ofscrir 7011.5 by e, <br />rylidt 6i. F6i' oti..n tt {p[.u lo.civil rolyor@r mrh Fv. t!ddo[d(!r00). <br />-1, <br />r. osE ofrh! FoFry. d mr.qbr€ eit e.t6 3 Udr DL @t!F.ritn. wiI & lb6tdlt rtrdE i br <br />ird.!.d n otuld h. * (Sc.7oaa. EoiB rd ?tllbrioB Cod. TIE cdrt co. ! tj€4 t3 &- El ?Ply to d o{c of <br />rb.F.lFty wbhdltdiryDE$.t .-drlbdE-.brdlhnBdfqlErlf dtLltdhilakom.Abrq <br />Flvid.d rhr sh ilFod EDI badql qdEd 6r*.lt lEl!€. dt hril&t q iqwqEr . Dld wini. d )aof6qbix', tlrorG tuLb *in bE 0E h!d6 ofFlviDa $r lE 6 tu dU d bsild t ttgoE ltE FEFI,for t FrI*of <br />-1. <br />. @E of di. FoFty. 6 aclBiv.ly.oo-riit wil li.@.d onxrd lo @!alru( rt Foix! (s6.'roaa. eaiB <br />r,td Elfiin c.d.: Tnc Co ndd r LtG* t w &6 @r @lr lo n oM. of FoFly *to t{iLb d iEFlvl' rtcoi. <br />ed wto codxlr &. rd FDj.rt *t[. coe.dd(!) lid FE d lolt. co.rr.cai ric LaI <br />_l o crmF u'rd6 Setio <br />l).r. ()ind <br />l!a&iLLt:!!,Dl8E}lJtl!.)!Dllg.t&llla! <br />I h.r.h\ nlln utrJ.r lxnrlr\.ltEjur\ fncflrhe lnl[Ntrr! drrl.nnrtr <br />-l <br />lw..d will Dil,.b. Csrifi.i.ofcood to SdfhsG f6 Erd dl9a..lidr a FortLd 6. b, Scli[ l70O ordi <br />L!bo, Codc br tlE Ffolr,ry. of dE Brl lirr * r! dE Fbn i !.u.d <br />-l h!€ .!d vill Mir.i. wto 6q6..ir! drse . ..qtiEd by Sdlt6 lrm of it ldq Cod.. for dE F6.tlGC ot <br />rlE wt 6.*iitlltFri i -'.d MyEtd .oqcrih n.rcoir dlolty trrtq e <br />?onyG <br />-l <br />.qr iry thc i, tlE Ffolr,tte of lh. wo for *hth lhi! Fni i! ita,.d. I rhil ml mphy &y pG$n i! o, DaE <br />b 6 lo t@c $ti<t ro r,E rqrd'6'Fdrb. Ls of Crlifr'mir !n Ar th. if I rlolH t<oc $titxl to llt <br />*o.id' o,qdldbi Fletioc ofscrio. l?00 oflb L.h.r C.dc I lttlL knt*nt onplr'*itt llE* Fovair6.. <br />w^xltlllc: F.ituE ro s@ wtd' qpdtrr 6E a. i 6h*tu1 -d .i.ll EE,4r E .rybF to ctltul Fii! od <br />b G hlDd llb'ed &'116 (ttm.o(lo). in ..!dhh lo rh or oa o(FEriq'*%/z--1 <br />u!I).! []])Il!\!LrB <br />Dtct4EArIA!u(k F.vLid of ft+l6 t (oEtl4i.8 silt S.dbn 70O) ol DivtiF l <br />of rt. &iiB -d Probbd cod.. .d n, Itc i a tul 6B d .ltcl <br />3P 7 <br />I h6rtr rrm @& Frty ofFjEy <br />i!$.d (sd. 300?, civ. c.), <br />loldiB .8try tu. $. FfolM oillE Frt br ${ul' t! Fni i <br />AIILIIAILIECI.68AIIO! <br />I H,.rEuir&,@.ry of prur,6 of tt bloei.t &.lrriEl <br />Da6lirio. ?@in'Atb.3a llorifi.rio! f.dsrl LtlLbc (TlL ,o. Pn6) <br />-R.q!rd <br />LalE of t{odn rin <br />-l <br />€lify rhr dE &dd.l r., lbB r.l.diie.t6t6 @d e d lFl*tbL lo lhi, Fojcr <br />thb sladb. .n in. rhi dE dov. iDforEibn L.mcr l.stclo @mpry wnh dl chy.!d couly <br />r{it to hiuin| @ffi*tbl! id hc.t, .dlsE rqarri€ of rhi c!, ad Cotdy to din l+or dE <br />OPE 77E- LEo-EL" ' <br />s)1113 <br />MECHANICAL.INSPECTOR RECORD <br />aazLzrga <br />I <br />Grease Duct <br />I lErt'r .l[m !.& Dauly ot pqjuy lhr I o <br />t4 ?