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 />-
|