APPROVALS DATE ID/SIG.COMMENTS OT NEI AUILDAR T'EL]CAIATIOII
<br />I idltr .rm uidd F{tr of Fi..y td I m 66Di t!6 th. co r-tn ti@ rry tu dE 6ll,win! lailsc7o!I t
<br />Buind !d Pmtaioi (od.)r Any Cily or Coulr, $tkh Eq!i6 . Fril ro oriltfl. .!8. irFotq damllh ot i?.i et
<br />riru(i4 FiJr ro ir! islre. Jlo r!+iB rh. aDllln for iu.t Fnn b 6L . ttrd ndd6 fid l'. or .h a ltq!.d Feli
<br />lo rh. FlviioB of iE Contr..rd ! Li.6!.{ l- w (Ch.p6 9, Comfti.t ehh Sdrion 7000 of Divnion ] of rh. &riM dd
<br />Pmrdiod co&).r rhr lr or.lE h datDl rh.ttnn.d rlE b..i' tu rh..llc8.d a.nqion. Aiy rioLtio. ofs<lbn 701L, by oy
<br />.rpli..,n fo. Fnn $bj(ltrlE .ppltol to. cililF.n, ol@r n@ lhd fi!. llid d.rlle! (trml.
<br />t.. orE otllE FlFlr. G oy arpbr€ will xra6.ll'd iL oEFdir dl.lo llt 6r id d.lnEn b tbl
<br />indiLd a otu d lii.l (S6.?Oaa. BunB -.1?rstilI Co<tc TIE Cofirrd r Liqe L, llE lEl Slylo, ll{G of
<br />tlE FlFry $b hnb ( itF.rE llE@ -d s{E 66 it t Nir hi,Etld hc*lfor ttreud! [i d lE oE aqro]4n,
<br />Flvild On sh irt o€Glr G rbl iradd doitld h. rle lL h.ltc. dr toildilS 6 iiForqEr i Dld wil'i, oE rd
<br />ol@trpldbl|. llE O*E & k $dl htw tlE h,tle orFDvi,a d!, h.d dE rId 6l hiu d i,FEt fi. FoFty 6. dE Frpcof
<br />_ l. . oBE.f dE FrFrr, & q.l'aiv.ly ofi-tii8 *in li6.d c.ir8rm lo .!ffi!r.r llE F.oirr (Se. 71X4. AliE
<br />.r<l h!(n Co&: Ttc Corr.rrd.! Lit@ t &qDlqlyro -orGof FFryf,lF hitbdi6Focfidd.
<br />.n *t @r,-l' fti ri pojd!. eit . colrtrrdt, li6.d
<br />'llrld
<br />b rlE c@tr-ld! li.!E t w)
<br />I u.(opl undc Stlion
<br />l)rk
<br />.Ell-8ll.AsrlluItrllllllN
<br />DU( l,,t&\t|(]rfi
<br />I hd.l\ rlfi'm trnrtd lB,.,i\ .l FrN\ rn..i rl'.1'\ll,,s tr,! Jnhrrrknr
<br />I lrw d will rin b t Carifrr. olcorEn ro Sdf.lEE 6. rdtd dq6.i,o. ! FovtLd for b, Selt ,?@ of llr
<br />L-.r Code 16 $. Ff!.ffi of
<br />'c
<br />slt fr *tit {E FEil i. iB.d.
<br />rlk trf'I ln' \h'.l,ll,F lr trii,\,$trBl NI\ \ oilr\' (nnt{Niron nstr']n(c.,n"r' n dll)l'.r ntr ,lN tr.
<br />E-- Z,ttS Z) af ?7tE Lltq-
<br />t,'"".-"r- latl/f 4'1444 A a>,y'nft
<br />I rd,r\rh.r 'nrh.Ff(rnsn..ofrh.$ort f(r \hf,hrhsFrn $ (n'dl, I nhll nor dnth\ 6D Fq,n '. nnt m nr
<br />e, !rn,6(omc nrh(r h lhr \ori6s conrp<n$r,.n h\s ol( rliLm'n. nntl q,a rhn 'rl sk,uld lR1m. i,bl(r ro rnc
<br />no,Ia( (ornt.nsdkrp,o\r\Itrsots(lion17lr(rolrh.lahrr(hrl..lshtrll.li'nh\ h comd! s irh rho* t,(\ isnnB
<br />rnlll sbj(( r olh)q r. dindl F.lB rn
<br />.tal fG rp ro oc iuirLd lhon rd &ll-r ltl00.0@). nr
<br />Sdh !076 ofdE Lto. C{dc i q!. -d .|nrr'! t6
<br />of.orp.rEdioG &rua6 a poriH fo, ll'.
<br />,,,, 'tt L-,/ q D(--/-/-
<br />r r r \\ll)l t,\ llr\( r'iI
<br />I halbt rlfffi urxld p6.hy of Fiury thr I & li.aE d u!& Fviio. ofct.Fd 9 (offiii8 *ilr SBli'n 70@) of Divi]iotr l
<br />ot rlE eliE rd Prc&sir Co<,.. -d 6y lt6a i! in tull 6c rd.lE l
<br />,.*,*.n*' C'20
<br />'.', . tr/o/tt
<br />(I)TSIA!(IIONI,EIDIIIjJICT!(I
<br />I n(.i'\ nmrn unid rslhr orFjun rhd lhs. n r $drudi'n Lal'n! r8frr fty rh. tEfomm..f rh. \ul for {hi(hrhir Fn.ir i
<br />'rtu.tl lsr 1097, ctr (' l
<br />drllJr6tlD[(l.dadro!
<br />I hd{, irnn u.dd tdrlr! ofndjury on..rrh. nn[r"i6! ddltrarions
<br />lkmhinn F6mirs.A(tErro. Nor'6car'on l:.dsil R+uldu.r(l(1.10. lnnnl
<br />Rdl n.{ ld6of &{!tudnn
<br />Yt cariry ru t ru. c ma rrru rff t
<br />ofoift. ed sErc ku. EldnE io.t vG nEniri.d phpd, tr iBpdr
<br />rlk rri\. nilir 1[ otr r\ !ir(r I lak{ ro (dtr,ln\ trnl' rll ( irr x (t (,! nr\
<br />rD{lhu.h\ rdlh'wc,qr.k1nrr'\6 f, thl\ ( i\ rn(l((ol}1,,cnr. trF,nrh.
<br />Applkdd^edsb uraX
<br />rmremrsinrl Dr- D/+V?p eedfr4zn
<br />'r,/./r
<br />Appliances
<br />Eva porative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Range
<br />Other tg
<br />Hood
<br />Type I 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 />Rough Mech.
<br />Final Test
<br />Meter Relelse / -
<br />FINAL
<br />Notes, Remarks, Etc.
<br />.}
<br />MECHANICAL.INSPECTOR RECORD
<br />Metal Fire Place
<br />Pre-lnsulalron
<br />Type ll Hood
<br />///tz/t1' fufi tt/Y
|