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DATE tD/stG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulalion <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Range <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 />Rough Mech.E-<-zr <br />Final Test <br />Meter Release Ir <br />FINAL u u u Dn/Ytl <br />OWNER BUtLDf,T DEI'ARATION <br />I bErtt.mrD sDdd pol, of Fjury tta I d qaId Eon tlE Cont.!6 Lk.@ t * 6r ih. 6{o*i{ l6i (S4.701t.5 <br />Buind d Prol6hn Co&)r Any Cty or Co!d, whth ,cquiB . FDn lo 6Drrua. rh6. irdp.oE darlio or tFi -yr.stu!. Fsro ir iqeq .Lo EqirilE th. Dltln lor eh Fni lo 6L. riBi.d raa@r lh, h. or JE it Ucd.d PUE&, <br />to lh. Flvi'bB ol rb. Coirrildi Licq$d ls (Ct!4t 9. CoMnrg rnh S.dirt 7000 of DivhioD ! of llr Aui6 -d <br />PDfdiou Co&) o. !b.r h. or dE ir ddpr rh.dod.nd rlE b..ir hr th..l!.ed qq4ro Alt virhbtr of S..riD 7031 t by &t <br />l!?lic.ln tor r Fhi surr. ltr .ppli.or to i civil p@h, of @l morc rh& nv. hu.&.d dollc (1500). <br />_1. s ogE of rlE FoFry. d Ey .qb)G wirh v{s B U.ir bb @46rbl! si! & 0t *dt d ln. jtl|ft i @l <br />i'i.!&d d ofald 6r r.L (Sc.70,&1. B6ic! 6d Proftsaos Codc TIE Co .r<rd . Ltag te dE ml t9t lo a olG of <br />tlrFDFty slF htild d iqn6 ltaor! .n *to d6 id wrt li,rdfd haEltor rleugj ni. 6lE om drployq <br />p.ovit d(n.l$.h ibFlEld e d ira.Ld dotuld 6r -t lt ho{a€. dElddna d i'g!$ard i.ld di d tdordsbi!( rt 0|16 BoiEa win hE dE bldar ofFviry [|,l lE d dr dd sl hild a iEFlw tlE FlFty fo. tc FlDo.c of <br />-1. <br />6 ('l^G onh. FoF,. o qdBiEly .odndirB with licd.d 6dn to6 lo @!.lt!cr 0E FDi( (sc. ,044. &Bi6 <br />rn hlEin C.&: Tn Cotr Grd r LtG@ t r do€ @r eDly to o o$G olFDFly who huik ! o. i6tmc rh@n. <br />md sho onrr&B lor $.h Frj.<r] *ith 3 (ItdE d po6t d ro ilE C.dt.aq r LiEE ls) <br />FAtt kLt <br />^/7) <br />eLi <br />l2t("!lt.lra] <br />I hady .lT6 uids porty ofFjrrr.c <br />-l <br />hw. !n eil min6. (rifi.!r. of Corer ro sdf-lEE fd Etd onga.llor\ . Fvilql fq hy s*lioo l70o of UE <br />1160. cdL, fti tlE F6.oe of th. *qt fd stit tlE FEi i i!&.d <br />-l hlE ..d will E.iillin m*o .oop@!rio! nMB.. ! r.qlitd h! serirn 3700 of rt t hor Co&. 6r lh. Fb!rr!!g ol <br />tlt *qt 6. *lih tbi Fni i iEd My wld @rp6.ior iEllluc tui, -d polq n@bq c <br />-l <br />€iry th.l b dr FfolrtEG of dE won tu wntt lhir Fnn ir isu.d. I tn I ml dploy uy Fs. in dy nuc <br />b sro tE tu rubj<r lo tll. *{t6'6!pq!.i6 Lu orc.lirohiA !i iE rh. if l.lbuld bcor &ri:r rorll <br />wrt6 @iFldion Fo!i!io6 of Selior ]?00 ofd. Ltlo Co(k I rb.ll 6nh*th @mply wilh ih.e FDvirnB. <br />WARJrlnC: F.ihE ro gc dl6 orpGrbn @vq'a b @L*tu| ,'d {dl obFr e olploF lo oihid Friit &d <br />civil tu6 up ro o@ hult&rd UDr.ld dolt. (tl i! .ddnir b dE or of coioddb.. dq6 . FlviLd 6( th. <br />sdon !076orrn trtu (-ode h!6.n dd ronEr <br />DECtlSArrAU <br />I holtr .6'10 uds paly or FjEy tr I d Ucd ldrk Flvili.n oro!.tr6 0 (@Mins wit S<lb! 7000) of Oivilio! I <br />ot r &dE !d Pro&.i(r Cod., .d Dy lac i i tul br -d.lE t. <br />lqd auqlq!.LlllBc.AcElcr <br />I hdlbr .rm uds F.!y ot FiEy ltr $d i t o.*udiE lddil .3*, er D. F6rtlE! of tu *dt ftt etii ti] ,<Ei I <br />ield (sc. ]I)9?, civ. c.) <br />AISJCABIDIGIrASAIO! <br />I Hr.eo u!& F.r, orFi!, oE or t!. 6[o*in8 &.trrio6: <br />Ddolib. P-dt' !t!3d !.orific.i. Fcdr.l R*fiiE (TitL lo. Pn6) <br />-.f.quid <br />f-ala of r&rif.ii! <br />-l <br />canry y! rh. bdEn EsulrioB E rnq gt.r@ rmld re 6l tC..bL lo d! F!r.d <br />-r <br />*ify r4( r r.". ,oa Ui edird nd ri. $i l!. .6oE ntud-M i qEs. I .arE ro odpry srt .ll Ci, Dd Cout, <br />ddid6le, $.lG bE E dDs b bcildils (od*rbc dd t6.b, !dlb@ EFadriE ollli Ciy od co'dy to oF $o.lE <br />IffiffiTiFffin q- U/tr"uz.,zr L., ,t/af tq <br />"^**J:-j"Lkq k Vkt sltULLd Y <br />MECHANICAL.INSPECTOR RECORD <br />APPROVALS <br />Other <br />I <br />Notes, Remarks, Etc._ <br />'-