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MECHANICAL.INSPECTOR RECORD <br />DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />lr4isc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Toilet Room / Clothes Dryer <br />Residential Ranqe <br />Hood <br />T ype I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openings <br />lnslallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release <br />FINAL {t 'Zt //q rana - loLl <br />OWNER Bt'II-DER DEI,('ARATION <br />I lschy rnt.r udtr FMlly .f Frjury lh.l I m dcmfl lh'm E (i'nrrrm l.a.nc L,r ntr 'lr thllo* in3 E a'n I S€ 1).1 I 5 <br />BrnNl aii ftorc{i,n Cincr: Any ( iry or (iD,{y rh.h r.auiE\ r Fmi n' dlnrlm!. !lr(. iqmr.. d.m i.h or n-Irtr ur_ <br />{ru.tuE, Jrir n, ir\ i\rurtuc. \o r.qrirc! rhr rII t.d nn {ucn lf,mii n, fih s ngrd dar.ft.r rhar lE o' rh. n lntnr.d N^aDnr <br />n, rh. Ilnrvirt,nr o{ rh. (nnrracioi\ l.tcnsd uw (Cluprlr e, ComnkNinf wirh S.crion ?ull oa Divnion I orrh. Ausincs 'nr!Pnrf.i\ans C,xL, or ihrr lr d rtr n.r.nti rlrrfioh ad rh.lqri( (tr lll nhS.ri.r.qri]I An, vi]hrln of Sdi,n T0:l l l hrrny <br />rrph. fo.rFrnrnsuhFrtll.pnk.nrro.(irilFdlryorn,fr{crhz.fir.h!,nr.ddnl{s(3Ju, <br />-1. <br />! dE onlE FoFny, d my.rpbF earh *'3d a rh.t sL drF!.,lir.. ,iU d,ln. *qt !i UE IrdE i,br <br />in r& dofr.c.l ir il. IS<.ro+4. BBiB.rn Proft3ih Co&: Th Coffiq\ tj..c t r&..n +lylooow of <br />rlt FDrEty rh. bilk m itg!6 dbqa rn rho &,6 uh wt hilMr d lE*lf or lhB,h hn d lB oM .rtl.r6. <br />nmvid.d lhll ru.h irvmwnls N mr i cd,..l or ofisld ft, .L. ll lskE rlE trildtrg or inptuEmnt ir $ld eirhi. oft jar <br />of@rphin llE o*E 6ui!d wil hE tlE hldor or Fvi.a drr lE d {r dlt d hli\c d irgDr dE FlFy 6. dE Flpor or <br />.ntrt $h, .,, ','.r.r,trrnhtn,,r!r\\ [](itrfirrrr\ rni{,rnur.tr.i',r,rrF( { rrJ{\rira\dl,L\, <br />I rnuc rtr tr'llcr S(rioi . B & I'C nnrhn (r{n, <br />Drft (rsEr <br />]rrx$;tllrau$;lita.IlNUllLlSAIIllli <br />I h.rrhy rffii,n trn(l.r p.mhroln rru,r,trk olrh.,,nl'*i',3 NlnIi,'n\ <br />-l <br />h.w rit will mindn. C.nifr.G of Con* lo S.ll-lBuE fd wld onFErbn. D rhrii.d fd b, S<ib.]7@ oa rlt <br />Lrlv Cod.. for llt pEfoffi ofthc erl fd *hth llE IEni h nsu.d. <br />_l hE rn rill oi.hin ifltd co.FM'in iNrc. ! ,t$r!a br Sdir !7m ol0E Lio. Codc. ior dr Flalm ol <br />lh. hrt fd whth fiir Fmir i! i!$.d. My f,dt6 6trp.Mri'. inllrc {b rn FL, nuohd cl <br />I c.nify rhi i. rlE Frtqllre orrl!. mrt,n,nth rhir Fmn t i!Ed.l rn![ or.n9lo, m, Fm. in ry nsF <br />{ B lo h.or lubF.l lo llE qrtd onFMi,. hrs orcrfttomi. nr, +E tL il I .uld lElc rulFl lo llE <br />hrk6' or{tnslion FDvnhB of S.dhn l'r0().lllt L.h.r Cod.. I nrll, ronhsiln snpl, *nh rbqmvirioo!.. <br />ir @tnt n utrLwtuL .!d drll obixr ! cl9r,F lo ciminn Fdir .,n <br />(alt\,.o0()). in ldliri,n rD 'tu con ot aon. d..ra...r pmvil.d ld E <br />s.1r 'rr r)r. rr ih.l . rtr ( <br />^,.5 |L1 /1d) <br />LT(I;NIIII1) I&I(IAf,ulsr$rutar <br />I h.Eby mrm ui.Lr Fn r, of Frr,lld I u linr.d urkr Fvitbn of c1!r16 9lffiint *ih S..lbn 7U)) oI Divirion l <br />of llE 3u!i6..!n Prof6.ba Cod., rn m, &..c i. i. tull toG lrj.r<. <br />,)D /D ) (73f <br />9- tot LEL'rcA?9 <br />ilrEd {s6. 1097. cir c). <br />L.nrkr'r Ntm: <br />- <br />i.,n rd cd. rh{ dt .!or infori.tir n ..48 r I rt,E ro @rply rnh .[ Cirl rd Cody <br />ldii! .oIntocrhtr a,n lEEby rurhri4 Errckd1iE3 of rhit Cnr rld Counry ro cnl6 uDoi rlt <br />aPnhlrd or As.nr sr3n.rur./4,e -,"5:/422 <br />APPROVALS <br />Vents <br />Other <br />Notes, Remarks, Etc. <br />Artt lqtNr.lQcttaarm! <br />I h.6, dlm un hr For, .r Fiury oE ol <br />'lE <br />Llk rinS .trL..rkr.. <br />D.mlihn P..hik-A$.rtor Noifr.rion Fcd.nl RcSrlriotrr (Tnh l(). P!n6) <br />-R.auiEn <br />!til6ot tlditLrin <br />I(n'fyrhrrrh.fud.rrlr.!ulari(, t rrErdin3 i\tf,{o\ r.miHl rr. i pplicrhl.t,rhk i,,(i