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APPROVALS DATE ID/SIG.COMMENTS OWNET BUII,DE' DEL( Ai TION <br />I ho!t, rlta ui& pqty of pajury rhlt I o .t6pl 8od rh. Co GroB Li.oE uw 6r th. folhvins ta)n (S*.mll.5 <br />Bain* !,d PEa6io. cod.): &y Ciry or Co@ry $ttl rcqliB . F6ir ro od^ar. .ta. i6FoE d@.l![ @ rlFt &y <br />tl,rEr4. Firlo itr iqeq.1o Eqtln- rll Tdirll 6r st FEn b ft. rirr.d ric@r rhr la i.iliEd Fnd. <br />ro lt FDviim of rh C@n|.ld'' Li(6t d Lr (ctq(a 9. Cffiins qd! Scri, 70@ of Oivi.b. I of dE A6iB -dPefasio6c.i!.)orrhtlh.crl!iraaIFriErfonDdrlEt.nturh..lhcdqorqi@.a'yvioLrb!ofs.6bn?ollrbyey' <br />l9pli@r tu ! p6ai lubjcl! rh. !ppli.@r ro . civil p.$lry ofmt mE rhe liv. hundr.d dollrB (J500) <br />_L- olGoalt FDFI , ( D, Gebla sih r..6. d!.i 5L oqo.iro ei! & lbEt !d d. mEe i Dr <br />boid d o&.d fo. rd. (S<r(x4. &aiE nd PreftiE Co<lq flr Codt cd . LiE! lry.b- 6r +tt io n o*E of <br />lh. FEFty *t hd6 a iryD6t E[. -d who do. rr(lst hiE .ltor lEslfor llhirat ti| d ha om Gdplor..., <br />prcrkt d thn r!.t i!!9r61@d E d irad.d dolE rd 6. da tl holeB. tlE h.th! or irForq6 b bld viltb @ )aoroopbir! lh.O.G Ed& eiu bE (l'. hrda ofFlvi{ rh b r$. dil et hrld ( iry!€ t Fr?.ty &.lh. F F-of <br />-1, <br />! osE ofth. Fop.rr, u act!i!d, cotr&ritls xth ltd.d cotnr*toR to @ilrNc rlE FD.icr (Sd. 7oa1. &!!6 <br />.,!d hoE*ior aod.: Th. Conlr.ctoat Li.* trs do€ mr .pply to u om6 of Fopsry sho huildt or inprcE thE6GDd *ho o'r.*i! fa roci FojGl' wil! . Cod..ro(!t lt6.d F,adr lo lh. codn.lr't Lt@ l&). <br />_l h adF un<lq s<ibr_. l. & P.c l rhllB[ <br />D.l.r Or..rl <br />wotxrrL(. coMt'F{saTloN <br />lECtdSArIO! <br />I halt, .llm ui& p@ty of FiEy oB of rIL bllowiE &.brb6 <br />-lhlrca <br />rill mi lb. CdifEarc olcoMr ro S.lt-lcurc lor mrtdt @mp rion, d FDvid.d for hy Serion 1700 of rb. <br />L.tor Code fs llE Ffffi. oiin w* 6r shth ilE Fnit b is$d <br />_l h.E .!d wil mnr.i. eqtd oDpddbi iefuq - Equild by kio! !m0 of E tlt r Cod.. ir th. FfurE of <br />0Es t'.stth thi pdai i bal My6to @qdio! irI.c d; d polt, !b. ft: <br />_l coliry {d in rhc pqaolrffi. 01l!! *ql tut *hkl' $t F6f,n n a!u.d. I {dl nor dolo, &y F$n i! ay EaE <br />e a b bdoe tuBtl lo rlE Ni6 @tqd.rio. Lw of C.lifomi( nd .t'E thr if I dhuld h.@r {ticr b tlrxorld @6F!iia FoviiE of Sdibo l?(n of rh. L.&x Code I dll lb.lhr r dpry wit rlE Fovabc. <br />civil fincs up kr on. hun&.n lhorsd doll6 (ll i. .ddnio. t' th. con of ..mFMtion, do eB a ptovidcd for th. <br />Sclion 1076 ofdr lrto Codq idqln.d.nrr.y t l-a.,r,^ h)r<an>t-- w-- <br />!C!M!L(ONr!A(I0AlltigJaAllo! <br />I Hy.frEulddlarrotFiuyt I D t@r.d 6.k Fofid( oroF6 t (@i! rth Salbo nrD) otDiviri.o l <br />o( t BuiE.d Pt ii6co& !d 6,li(@ i i' tuU for..d.&d. <br />bbs e64l,l Borut.gz <br />t9$rrf,tEuqu.Lll&ac.AcElctIt dy.eD 6d6 F.lrorFiEylh rEr i.66ltrb. Hit rc, hr tLF6.!rc of lb E l b. elr.! tt- FEi i <br />i$.d (Sc. loer, Cn C.). <br />-l <br />€riryrh dE ftd6.1irttrir itrrba &6 l@vd G d slicli.ro rb FDjcr <br />-l <br />ctlit thi I h.v! r.d tlii rrpli.rio! d tld! thd th. .hor i!66rio! it @@.i I {E lo @Edy eth .! Cny ud C.ld} <br />at i!!E r.l gr. LM dislo htjldit 6c'rdbr !d t rtby.ddir. Era.iviof $i Ca, !d C$dyto.n.. eo. d.&E di,r.d E!od, &. tf.ai, Frr. <br />^**-^*"4 .Z_-,2 -., 3-Q*-lqt".,-*t*r, L- l-e-, /)a,r-Z t<) <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 />Toilel Room / Clothes Dryer <br />Residential Ran ge <br />Other <br />Type I Hood <br />fype 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.9lzclo,./Lq4A <br />Final Test <br />Meter Release <br />FINAL / L/ 7 r//4=7.74/d( <br />Notes, Remafks,'ftc. ,-t <br />MECHANICAL.INSPECTOR RECORD <br />Hood <br />Cuie: *c . +/l/zorq^tan,*., - -7b eO(: <br />_* -4*Ig_ta <br />r <br />Attlcaxr-olcttaArlotr <br />I H, eD u& po.r, of Fi!, @ ol dE 6uo-i.s Gl-iiD: <br />DoDlirio! P@nl^lt d6 Norift.nb. F.da.l R.sulai6 (Iirlc rO. Pr6) <br />-R.quiEd <br />lrra of Ndif.rirn <br />I