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MECHANICAL-INSPECTOR RECOHD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Eva rative 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 Ranoe <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 />Rouqh Mech. <br />Final Test <br />Meter Release I I \\r.. <br />FINAL illlz <br />Notes, Remarks, Etc.I tl <br />OWNER AUILDER DELCATATION <br />I h.rchy rrtrm und.r F lry of lE.iury rhd I m.rcq,i lmm rh. G)nrh ,n l-tcn* t w l'or lhc rolbring Elqr (se.7oll J <br />BuriElr uj Pmfc.rb. Codc) Ary Ciy or Cd,iy *hih E{uncr ! Fr! ro d'dtu.r. o, ,r!ntr!, &mlih or EF, ry <br />firrw. Fm 'r' <br />i( irrll.F. .ls rnoiEr rrt rt?lri ror i*h Fnrd kr filc. ri8Ed {&nd lhr lr or rlE t lilnrn punIn <br />ro rlE F'{ri!.r or rlE Conrr*r.tr.t l-ir.Ed ll* (attrd 9, ColtmNins $ s..rbn ?uI) df Dirran I ol rlr BunNs rxl <br />Pmrc$i,ns Cod.) or rhrl,E or rh. n crctrDr rh.rctom lnd lhc hc\n nn lh. rlLscd cr.n ran. Any thldhn ofSNrhl TlrlI J by !trt <br />xmli.rd ('r!F nirrubrc.Brh. {Tli. ' <br />!n r.avil 0<mlr, nr * mErtun nv. hu Endillar(lilr) <br />-1.a <br />ffi olrlE FoFry. d 6r.n?t F rth e.!E r r!.ir nt.oo?..trirc ril do 0r Et.n dE *Ere i i <br />i roi.d d otH rd.t (SE.?o{a. BunB.id Pto&i&B C.d.i T,E C.xrrErr'r Li.ar u* &.1rbr Sly ro - ora of <br />rlE pmfEr, *,b hrllilr d i,rpoE tlEbrr .,n pb &d sh stt hin*lf or lEellor fiDlrn hk q hd om crploF, <br />FoviLd lhd rEt lrtDv.t .aG Dr iEd.d dotuld 6. {t.lL lDM.ri. nnHLr d hTrwrtl L Dld,ihi cra <br />of oprrir! 6. Orc Boiln ri! lrc dr hd, oa FDviB rL lE d {E dd d hi! d i!+.o* lll tnFiy fE d. F F.o, <br />-1, <br />.! owr ollrE l'np6ly. rm crclu.iElt conlrdin! *nh li(rnEd conlrlon lo onrttul llt Foid (Ss IX4. EB'rcri <br />.,n AtrErnrCod. Tlr Codrrol! Li..n{ Llrd..r mr.Itilr ro d0*6 ofFoFn,*h. t{ildr or i,lrmE 'lI6G.d rno ofurr! fr trxn FsF.r. *i0' rc.rt rdl,lirr..<l rrjlld hllE C.'rrxrdi til* l,rr <br />lJ ,.n. rtr r (l!, s..r(r ll Il'lt lo,rhtr'rNrr <br />Dhr. (rqr.r <br />llrSAElI:l.InrB$r!8D&llatArrlx <br />I h.Eh, .,rrn undr |Euh, of Fiury oE of rlE folbwin8 &.llrihm: <br />-l <br />h.E..d oill miffh.Cqrin d. olcoE lo S.U-t!re 6r wt-. @trFErb[ u FDtiLd lot byselitr ]'rlD of dE <br />LrDd Cod.. ad 0E pd6.rlre offi. rdt fu aii.t tlE Fni i isEd <br />Ih^c.frj*ill mlmrdm sn crr' ..mncn{lrirn inrurrNc, i\ rquiicd hy S!.r ion I7(Ir ol I hr trtlr (ixk. tur rh. |](rnflDm ol <br />rlE $urt tur*hihrhi\ ndiil is i$Fd trly trorl.^ .onriE qri(,n in rare. clrir ud F,lar n! otrr m <br />lri <br />'i <br />\ N rnh l !t,L ,* <br />-l <br />cnil, rl[l ir rlr Frfolrm of rlE rst aq ih dli.Fon n ishL l rt UErorl,byuyFsi.o,ME <br />s tr ro lror dFr ro rli rd6 on9.G.rir L$ ot C.lifoir. .!d .ar!. rL if I dwld tam rrlj.il l. llE <br />wond orF,:.rbn FovkbN ot Selih 170 ol rtE trbd C!rL. I rldl ronhwtt 6nply *i$ lr.r FDtirin.. <br />WAnNNCT F.ihE !o cc wta o[FrErirn 6Ert! ir olrnil !n rhX sbFl & .qbF !o cioltl FllL.Jn <br />civil tB rp ro oc horttrl Oourd &&E (tl(l,,@t. h rurid b rlr 6d of @ry.rEli{ d.r{et a Fvil.d 6r dr <br />sdbn 3016 of rlr t !o. c.de hllElr ]d rldErt c.. <br />UIASIDIONITACEIrDf4lllArll! <br />I rEEby rtrm uidd FBlry of Fiury rh.r I m liMid ud.. Fovibn ot CIrFE 9 (sffitli {lrh Sdbi ?0O) ol Divilbtr 3 <br />ot llt 68lm$ .rd PtoGsnN Cod.. ,n n, lilN i! h tuU tuN rn ctf..r <br />I Nn{ ( lr\\ I trrN. Ntruhcr <br />D.lr (inlr. 'r <br />cttls:rBl$IllxlJAlD[ri.Al,iEg <br />I lfGb,,rh ond.r F lryorFiuryih,i ltc l, ! o.crEriri hnhst!.By t llt lEf('ffi olrE hrl fo, vhah lhk FEi ir <br />isad (sd. 1097. cil. c ). <br />AE'.TA UIESIAEAIIIA <br />I bydfmuldq Fn x, orFiry oE of {E loll,,ili.lrL,rriE: <br />D.mltbn Ptmn!A!6.rro. ltorirr.rb. Rd.r.l R4rrhiD (TiL /O. P.r6, <br />-R.qu <br />iEd trird 6f l\hifrdbr <br />_l .dr i,y rhd rlE f.<trd E.I,ritB r.lrdini tnrr6 Emv.l e ml +r'li.bL lo d$ FlF <br />_1..n'ryrhJrlhr\rrc rha .fli.xrx'n dl {rrr rhlr rh. fi) ! JF(rr'$npl\ r hnllC }3nl(i,unr, <br />unli.Uf,r\ dnd sttrrc lr{s Elnrins xr htrildinc oNrrucrioo. Rlttrhyudrhtri/c r.Fc\cduitrc\ ol rhi{ Cirr rtd (i'unryt' rnrc' t,r,nrl! <br />!tnr. n*.rr,tui ,)n'If,ny . inll4-..tirpurl[{l <br />Amlr$r d A8.nr siBErlr <br />III <br />a <br />dfffiG=Zruna <br />qrh- <br />tJn,r!'\ Nrrr: <br />t ri.r'r AddEs: <br />-