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MECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.C(i.ilMENTS OWNER BUILDER DELCAN TION I h6!by.,Rrn ulldd !a.ty of Fjlry th. IoqdFtofr rCol,r.cl.u'Li.u Ls lor llE follosiry r6D (sâ‚¬.7011.5 Esin* .!d Profdion Cod.): Ary Cily or Co!d, sftt EquiE . Fni ro oal^ai .nq, inFlE (hhlat r q.n &y lr,u.rE Fi.r ro iii iEllee .Lo Eq'ri6 rlE +pltrx for M[ Fhn ro 6l.. riS!.d nrde'r rhr h. o, tlE ir li@.d F&!! lo $. FDaisio6 of rh. CoirEldi Li6!.d trw (Ch4rq 9. Co@@nr8 wnh Serion ?0OO of Divirbtr I of th. Bu!i6 -d lrof66N Co&) q thr lE m CE ir qsrd rlEdoE rd rlE b-ir for rlr.ES.d gdpriri. Aly vi,lri,i of Sdbn Tol l t bt D; .rdt.r!r ror . pqon otirl. ll. @lic.d ro . ci! p@ry of bt @E tr liE hqndld &u6 (lr0o) -1. B NE otth. FoFty. d dy qrrrd sit w{s a tlri bb orpalrbi. wi! .b lt. Et d rr! 3lEE ir mr iradd n of6td tu .l. (Sc.n).a. ed6 od lllbb. Cod. Tt CdE ld . liE t * &- 6l +dy io - o*E of drF!Fr, rb hilil d iqDE dE@.n rt(l dE.dr Et li@lIq h-!df or tlrwa] hir 6 bd 06.4byq FoviLdrlld ut iqffi E d id n oEld S. -l.. lt lEM. tl' Lddq a irysvqd a ild,itin G rdofoqbi,G. lt. OrE eifk wil bE lb ht& of tltq lL lt d iE.H El t ld a iryDr dr F.Ft, &r ilt F Fcot -1. . o.G ofdE FoFrr. ! qcfln"dy cldraia wri liE!.d oe-io r. @drxr 6. FDj.! (sa. ?044, B.lilB td hltiE Cod.: rt Con r(:ld . LtaE t* .bs br ryly lo d o*G otFoFry vho h{ild. or ilpoE tnaaE .!d *to od6 &.$dFjetwi[.CodEdlr) lta.d F!r!r to{Ecd...<rr'r Liw ln). -l a sapl @dd S6tb!- a &P.C fort!'a)n D.r.: OrG: ]!!8S[8[(qMIE!!AUA!oEclJlAllq! I h6.try !,Im unda Frty olFjury orc otllt follo*ing &.lrrrh6: _l hrrc nn wnl mi rin r Cclifk I. ot Couor h S.la-lMc for wrl6r @h!.urol\ E Flvid.d for by Setioo 1700 oftlE trbor Codc. ad rh. Ffol]1@. of th. ert for *,lth th. Fnir ir isu.d I hrc and will msinl.in wor[.ra conFrostn]n iNurlncc. s rcqltcd by S(r on .1700 ol $. ldff co&, lor rh. Ffomu.. of th. wo,k f.. which rhis p6mn i! ie.d My *orldr' codF&rion i6udc. c.fti6 ! Fli.ynu,nb6E Pol'cyNumbs:- - -lirfrd I odirythn i,lh. pcfol]rw ofth. m for whth lhit Fnn n i$.( I.htllmtatploy6yFsnin,,,ffi o a lo b@c sbir.1 ro th. "qtd' @DFliion L*. otc.lilbmr ,!d tc llli it I tlEuld ha.m sl*( lo llt srt6 NipqBdn. Flvirb6 olserio. lT00 of E Lbo, ( odc l trll. fonnwit 6ndr wnb lbr FDvirio6.. Wr{RnInG: a.inE to sr wrta' mFnriD orala. i uLrtul tn adl Ebjer u atpbF lo oilid dri.. od .ivil liE 'p ro oE hE(H tho'!-d &ll-. (ll0o.000). i! .ddliD ro rlE .d of .o6p.Erbn do.g6 B Fvikd fDr rlE Sdbn 10?6 oftll L$d Co(h idsln ]d fidry r ft6.q.9o tq lECI'f,AIlqA I h.*, tfrrE u,& F.ry of Ficy rL I D [.d.d uldd Fwiioi ofo'qt6 9 (@i.a wih S.din ,00o) of Divid,n ] of rlE &!iE -d ttDkid Co& nd ay liu. i n 6 6c ri .tur q ?o'l cq!t[8l,lquo!.lJ8DrG.Ac!!cr I bqlty.r&E @da !o.iy of Fjuryrhr dE ir r @!dru6b. bditI lsqty 6r th. FfDlr!trG of 6c *vl ftt *nict lb! Fnt a iixr.d (s6. 3097. civ. c.). ATTUI;AXTIECIJAAII(A I hd!ry .IIm lndd p6.Iy ofFjury on. of lh. following d4lsllioro: D@olirion Pmils-Altdro! Nolific.lion F.d6.l R.suLrio (lnI.40, Pin6) -Rctutc, tar6 of Noii.nirn I .dit rh, thc a.ds,l rcgularioN E8edi.{ sb6kx rm.!.| r. nor ptlic.bk lo liir Fojcl I .dliry ih3, I luv. 6d fii rrpli..riof, lxl {d. rhn rh. .b.!. infodi.n n cotrar I lar lo onply wirh lll Cn} r,<l Co@ry ordi.e6 .id Sl't. tla Elaidg 16 hrildinS co,(n(rion lld hd$y .utlbria EFddriG oirtir Cny od Courly lo dl6 uFn dr $ov. @rioo.d FFrr lor i!?cri,n FrDos Alpli.er c fu<d Si8r.@:_lazar Y 3o'tc( Appliances tvaporative Cooler Furnace Compressor Misc.Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Final Test Meter Release FINAL {lt tq ,(/,/t4 [q I Notes, Remarks, Etc.I I Metal Fire Place I I