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APPROVALS DATE tD/srG.COMMENTS owlllR lt I|.DER DEl,c^xaTtoll .
<br />I balty.lIrE oi& ,E ry of Fiuy tr t D qcGF tDE rL Coi'r.rd Li..4 t8 &r tlE 6ll'wra i@n (s4.,011 ,
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<br />iEr.tlrq Firlo nt ies!.c .lo Eqrt6 tt .prli.d Rr &i FEn to tu. r8rEd ndar.n lhr lE oi rE i licd.d Fnrri
<br />to rlE Flviriod of $. Clnnsiori Lic.ni.d Lrw (Ci+.r 9, Co6'l4hS win Sdb! 100 of Diviri, 3 ot ri. &ri6 rd
<br />ftoblbB Co<tc) d Or lE d dt i a.4r $46!0.d tbc b.i for 0E.lhEd d@Fi,n A!, fblri[ otsdi- ?011 5 iv Dv
<br />arit 6'rFEa rbjdrt @lt nlor.iv P@n,ofor @Elld 64 h,ttdtld &!rt(1500)
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<br />ogc of,E FlFdly, or ny.nplq6 $ us6 t l[.i' -L 6raa..bn w dt th.Et.d 0t tt!.tn. El
<br />irc& doft.d hr.rr (s6.70a4. &d!d.d EoirioLco& Tt cdrErdlLisL*&-Daelvro-orcof
<br />U.FEFty eto hrl& r iryo€lbe d wlD il,o&d Et hitellor hadf s thDls] hn d h!' om @Pbvc
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<br />o o*E oftk FFry, 6 dchliE otuLr wilt liG!.d o*-to to.ordt<r fi. Foitr (Sc..7oL. &.iE
<br />ad Aolin Co&: TIE Corrrdd ! Li6c lrr il6 6l +Pl, to - l'sc of FFiy *ho builL d ifrlroq lEaE
<br />6<l eio @dd! fr dt Eoj.q! eit r Cod.d.(, lid.d Frt*lr lo tt cdrncdi Li.6c tn)
<br />_l o.r@F u'da Sdl
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<br />I lErby .lf6 u& pgalry ol pdiury o& oilh. tollowite dchntiod:
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<br />t E d ritl 6i rh . Cqtih. of CdE ro Sdf-ltt &. dfd onlcd'|,i,r - FovlLd fo. bv Sarbo !,00 of th.
<br />r.&. C.d.,6.6c Fe.oe orlb. h* rr vti6 dt PtEn it iEEd
<br />,&ad*ill mi'r.b so*6 6464ir iElEc. E$i.d b?scrior l70o orur t.bo. cod.' b.tt Pcfottnreof
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<br />D -ro t@r $qd ro $. slr@'@!pd.rbn liB of C.lifooi. bd rad $.r itl ftuld bGoft tutidr ro llt
<br />wrtd'@Epdr.rionprcvbioNofs.nionlrOOoflhcL.tqCod..lddLfoitwii@mplyYihttb.Flvirir'
<br />WARiiING: F.ilE lo Ee 6'ta'cnp@.ir oEl. ir 6b*tu1. rn rbll tutiel - 6proF [o oitid Fllb -d
<br />dvn fE !, lo c hlxid rho@d tlollr! {tloo.ooo). i! .ddibn lo lt on of @wdior drn+6 s Fovikd tu rn
<br />SerbE 1076 ofrh. t bor Co& t sdr ald.nmEy ! 46.
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<br />t tarty.fto u.& p@ly of Fju, t I c lhaEl urdd FD6io. of Ct Pla 9 (oEl,4iis wili s.cii, ?000) orDivirion I
<br />of &. &!iq. rd Folt-i.,E Cod., .od 6r lic@ i h tu! &E! id.fEd
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<br />,*, lr )zo _._ c-."..* W&Aat9 tur't'.re^x.trr* D iL-.
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<br />po.llyof pcjutyrtr dE! h r coliltudion ladi{.S@y 6t lb Ff!|!er of ilr 6t 6t.t ,i &ir Faa a
<br />ioud (S-. 1097. Civ. c.I
<br />Lrd..'! Ann6:
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<br />AITLICAILDICTJSIIDA!
<br />I ba6r.6E rddq Fdy or pdiuy oE orIE bnowi{ &.lrrbB:
<br />Daohbn Pqhi& rb.i6 N,orificaiD Rd..l RBlttE (fiL /o. Prr6)
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<br />cdit rhn I lEc @d lhi! .Ipl knir! -d rd.lt dE.toE inhb! ir cdE r.ItEro@trprysrt civD<lC.orv
<br />oRlin.lx. sd Sl.r. Lls r.lrg ro hildin3 6nriEbo. -d t dt ldtdir. Erq.dric ollhb ctyod Cour, to anc !po! lh.
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<br />.*o-*torn, AfUtrg.l i7,,.r^5
<br />h( ,,Ielro
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rouqh Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Ranqe
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />Openinqs
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rouqh Mech.
<br />Final Test
<br />Meter Release IA
<br />FINAL l-%,7'l \N':A
<br />Notes, Remarks, Etc t/
<br />MECHANICAL-INSPECTOR RECORD
<br />,,.,", tl16
<br />Furnace
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