|
MECHANICAL-INSPECTOH RECORD
<br />APPROVALS DATE ID/SIG.(,lrNl:R aU[.Dt]l DEI_CAtATt()N
<br />I h.Eby rmrm utul$ r'&lry (n td)!r, rhd ! @ urcnq ,on rl! (inr,!cn,r t-idnr lrw ftr rh. t'lbeinr @q'n (s..7lr:ll I
<br />gunmr\ id l\or6ril)n CdLr Ant Cny o. (iunl, *hih rn!trcr r Fd tr ntrei. .nd. nF^r. drmlish o. EF! ..!
<br />{e1uE, Irior k, fi Nutuc. ilvi rcquiE h {Il.rnr i(tr {ch Frnnl tu rik a ri8rcn (!'crnr lh.l tE or rlE ir licTn€d putunr
<br />h rlr Fr,1i,n\ ot rh. Conrrrtr\ l-Enctl I:r lClDIrs 9. ConftE-'m8 {nh S.cri,i 7fi)0 of D[Fr]n 1 of lhc Buran.( rnd
<br />lh'lcr.iinr(-(.rorrhnrh. rh. i. .rtqi rtEkftof, rrxi rtF tun\ lin rhr !lL8.d .ren{ r'n Anyvxr.rir.ofSdb.?lr!! 5hrM,
<br />Iprlionln,rn mil ruhFlrrhc q'pli(unr lr, !civilF hy.lfl, m,.rh.n nr. huftircd dollatIS5$I
<br />J. u owE of $. FoFny, , ny dr?hFr wilh w.!6 & tlEir elc @6trNrion. *iU do $! wqt.!n llE.lrrdE i! @l
<br />hoil.d q otu fd -t (Sa.roL. B6iB rn PiDf.sin Co.L: Tll Cdrr-rd'r Lkfr Lrp .td id ,plt b e old ot
<br />lh.Flfdly,bhd.lditr roE llEq rn rlb.h6 cn Bt hi@f dlEE[mrLolnl .dlEMcn r,y.ri
<br />ptuviLd thlr ru.h in .om t N d iisld.d d dk foi nt. lt ,Esa. tlE hriBi.a d in!.GErr ir -ld wnlil c lq
<br />of cr4trin dE (nG Bdl! siu bG Ilr tu&r of Foftt ln. lr d !h. d! d hli5 d .tpnr h. F!Ft, f.. rlE F,r6. oa
<br />_1.3r{wEof rlE F{dr. .m.rctrNly co Blh8r{hlf,.rMdo dr*ki drdar rlE rfrF (Sd.,().{. aurls
<br />rid Prilsion Codc: Thc ConriEru r l,iccnr. ll* dft! nor opply ro.n oqncr ofltroFn, wto hlild{ or inv,r.rcr rhc,.on..nd wls ('dEt ft, rki FxFdr *irh. codrd.rli lndEn rlNrn lo ft coturkr! tite rr*r
<br />lrtrrr\rn,[tr'xt.rS.\r(r .tlril'(-nnrhtr'..hfn
<br />lr{lr (rrnc
<br />TAAIE&I:I;OIIIBIAIIIId
<br />D&CIISAIIA
<br />I hcEby rllum un.Lr Fndly ol lEiury oE ol rlr loll'win8 d..Ld!,B:
<br />-l
<br />lIE !n villminr.h. Corif6rc of Coi.rr ro Sclt-l,wE f( rqt6'@rp.a.lbi. r ,.DriLd td !y SBrbn lr0o of rl!
<br />Ltor C.dc f.. t pdflt @ ordE Et t6 lttt E Fnnl b iE (l
<br />OL
<br />l-rt lrll(
<br />-l
<br />c.nify lhi ii lll F folrm of rh *ort lc w
<br />E .r lo bc.!B tlbFr ro rlr edia' oigcdri,i
<br />'dL6 6r?.Brbn PlDlii'a ot Scrio. lTqr of
<br />hah rh! Fmi !r rru.it. I rhlll n'l "*;;;6;;;l,,q\ rr r",hkitr,,, .fi r.irr.( rl,r!,r I nxnrlll l\.rtrN n,l,r!r i] rlf,
<br />rri.ltrtr, (,\ll 1.tu I nnh\ rr!,trr],hrtrl'rrlttr^trtrtr\
<br />WAININ(; f.rluE b <uE *rr*dr $iltnqri)n dnsr8. a !nh*rul, rnd th.ll .!hFI .n n!'loFr ro frmDl Fflli.a !i
<br />cilil nn.r uI t) oft hundrcd rlnusikl dolluB ($l( ,lxxj,, In odJ(tr'n h)
<br />'h.
<br />cnn c! uEn€rin. d.rMscr !! prnvilcd tu rhc
<br />\dinn nrrinrflrly'r ( nd.. trr6.n nd dxmt \rc /-\ a 0
<br />,",,, - s bt /r1 ^*,-,,F L{-qra-lt/
<br />LICFNSED C(INTR (]fl)R
<br />DIIIJAAIII)N
<br />I h.rhr.mrm lndcr lrDlrrorF,llry rld I rn Lft.:rt !nd.r Fotn.n ol (lkfld s r.ommr'nB rirh SRrirn 7(If)l ol Divrrn I
<br />or th. IlusiE$ lnd Porcr\n'F Cod.. ,rl n'y lk..{ n ii toll loBr urd .lLrr
<br />L-.19q1?5' 5)>"1tf c."*'*1tl e*w
<br />SN$AgqTIN.[E!DIdIiIGAq
<br />I [sdry .frm m&r FMl, of Firy lh llEr ie . mdnxlbn hni.8 .!Gy fd llr FldtllN oa tln rqt &* rdi.lr ltn Fht it
<br />ir.u.n (se 1091. civ. c.).
<br />a@lt;Aul0Eqaral@
<br />I hcrt', .ftn {dd Fi.lry of Fiury oa of rlE foloein! .Lcl&rriomr
<br />D.Dliir6 P@r'A.t .G tLlI'r.lhI ft b.l 8l.lhia (Tal /(). lh6l
<br />-RcqliEd
<br />L.rrd of l'adifidrb.
<br />_l .drif, rh.r rlr tc&nl cloldi'ir Eg.dinr alt.toi Etuvd e fui {?ti..th to thh pojc(|.
<br />&f.dliry 'hd
<br />I trE E.d
<br />'hi.
<br />.Dplrxbn un {.r. rhd rtE rboE innllrlrlion k .ffir. t .tc ro ont ly *irt tll Ciry .d C.ury
<br />din.N! ud Strr. L*r Ellir ro lnildiry 6n{[:rhE !n lElbyn lDri4 EFr- riB of$i. Cny.tn Coody lo cnra Woillr&E ,.rri,Ed tmFnt ld i'!Fi
<br />Amlkr o, A[rtrrS'!rutrc
<br />l'"*r..,.-.,r.,, l(o R-k -tu -,. sl>lf t1
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace L/u/tc .7 w/o7
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rouqh Ductwork
<br />Vents
<br />Toilet Boom / 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 />lnstallalion
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Hough Mech.
<br />Final Test
<br />FINAL r)<t/ r q, .7 4* /Dl
<br />COMMENTS
<br />Meter Release
<br />Notes, Remarks, Etc.
<br />-+
|