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APPROVALS DATE COMMENTS OWNER BUTLDER DEI.CAIATION
<br />I hatty rfrrE u& Ft iy or Fr'ry Gr I tn sced toD rh. coitnddr' Li..@ lr* br rh. &lbwiE r...n ls...70llj
<br />&!i.a ad Plobin Co<L): An, Cnt or Couny *htt t quid . Fir ro @rutu r. .16. inqorr. d@lirh or rlp.n .y
<br />!&an !.Ft bt. iorE . &.!qsi6tL?dtrn br uh !6d lo fl.. rildr.@r 6r b.or dE i licd.d Frrd
<br />ro $. Forni.r ol E Cdtrr..td r Li6lal Ltw ((t dE 9. CoMi.S with Sdrir ?@0 of Divaioa ! of lh. Bl!i6 .ad
<br />'loli.bu
<br />cod.) d fia lE a $c i a.4r rffi.d .d t b.6 tur rl!.lhEd aclFbtr A!, vi'hb. ofserbi 7011.5 by ey
<br />4pltrr for. FEt eticr! llE {Dliqd b. civilpady of bl @cli- frE ladH &08ll50o).
<br />-1.
<br />! ffi ottlr I.DFry. d 6, drlold wirh *t6 c &.ir -L dEpdrri,n will & tt eut rd tlErnEe. or
<br />ira.Ld Gotu 6..L{S<.?0aa. BqiEod PD&rie Cod. rt Connddi Li(c t& dE !r,( +0lr ro -orE or
<br />iEFlFry *l'otoltd@!qltaon d*to<t6idrwthi@U6tdrdfdrho!81hidlEo@c+lotq
<br />ForiLd rhd cn !q&.tsBd iradd doEld a. rle lt toEc.rt h tt aargeod i-ld withcrc
<br />ofdel.i,r tlE o^c adir ei! hr rb hlrb orF!68 rh t Ea..EEr hild d iryo€ lb F?ary ft. ir FrF-of
<br />-[
<br />soffi ofrh FDFry. e d.t itdy 6lrr.di'rS win U.6.d @err6lo 6eri O. FDia (Sc 70aa. &riE!d hDttr Cod., TIE Corrrrddt LtqE k* &€ 6| @ly lo d ola ofFopdl, *60 huib or ilr.oE th-6..
<br />.!d ltb doil. f.r r.i Foj<r. *irh . C6fi.do(, lis.d FrnEr lo rh. Cdr..ad . Li(Ea t )
<br />\1 ()R1{IRS', COifENSA fl(rN
<br />IIDCTABAUA!
<br />I hocb, fid ! dd lnrll} ol IFJur, on. oalhc aolLnv lll3 dcldd bc:
<br />t tn^
<br />FIZIhJ\. J*'llntr'nrrmtr(d'n(,r. f ( .Nor r, s(lf- ltrsurc tor \dkd ' .onrptneri)n, d F oudcJ nn bv s(rnnr 17([) o l rh.
<br />I nhor (i .. i, lh. r'6t nn.nc. otrh. tro'I lnr shi(h lh. p(n b issu.d
<br />Ih.rcind$nlmr'h['n\.rt(.,ryEc.rn]niNurni..arEqun.rlh\SR1trri7lr)olrh.Lnh((i'd..li),rh.F[onnu...of
<br />Fnil ir iE d M,w d c.npdtio. nBuft.ffi, !npoh, Nnhd rc IIJLE4=N o $.,N<--3 (bv,r?Av
<br />-l
<br />.! fy rhd in dE Fbldd of llr Frr lor vti.h tnt FEn ir iEd I rlrl b{ .npb, oy Fs b 6, D.,E
<br />$ rlo teoc rrrrn to t $dta'@trpo!.n. bs. olc.li6d&! !n s!. rll. af ItlDuld teoc etid to rlr
<br />F{6 ol4daho FlviiE ols<rkr rr0of U. t bd c!d..I tlL bnh$ttclr4rreii EFovibE..
<br />wARNtl'iC: F.jtm lo Ew witd @flpqdbn orEla. ir uLwful .d rldl sbj.( e dnpr,F lo oinii.l F.rt !d
<br />cMl fic up r. c hurdld rhou5rd &rllB (ll0l).000). b .iBnih ro rlE cod of .!i$6!Js|! &.ta . FoviLd 6r tlE
<br />Sdrbn !076 olrt t td (odc in.d.d.ndry tfG.
<br />lz -lL- 2a
<br />USEIIEO.CqNI8ACIAA
<br />DEC|JAAI,Iq!
<br />I Hy .IEa udd Fllly of Fiury thn I e lt@t d urldd Eovbbn of clleta 9 (@irt wit kbr 7000) or Diviri.! !
<br />ol ft. Boind&d PDf..io Co&,.d By Ik@ ir h full 6r rn cfid.
<br />\*r o,-, b- C'Zc^ u.d. Nubbcrl \cc,2eZ
<br />2--l G - ZCt c-r^,w€)Lyb sW> hytvt,yo. HVAL
<br />colslaltcllou.ElDtlo-acElq
<br />I hort,.trrb !rd6 pa.ry of Fj!.y rhr ttd i. oo3tu a.n rndi4 a*y fo. EFfo.tlrcof th. wl ft'r *ntn fiii Fni i
<br />i&.d (SE. 109?. Civ. C.)..;t
<br />AIBJ(AtrI.!rI:IAAAIIO!
<br />I Hr rltn udd F.r, orFi'.r oE ot rt 6lbei.8 rbhria:
<br />D6Flibn PsEiE-A.tara Nodfr.iE &d R.sohi8 (TiL ao. Pn6)
<br />-R.qui!d
<br />tdrdof Nodinin
<br />-l
<br />(dit rU rlE 6d6.1 El!,.rb6 'q8li.B 6b.s6 !oD61 E ,bt epli.bl. lo rhir Foi6r
<br />nir.rls rltrli\. tr,lnnrirn '\!nndr l,'('(n,.rrrl\$ [.nl( \ ntrl(,"r \
<br />,qs i6 of ftir Ciy rd CMry ro dl6 rpo! dE
<br />,boE Mrior.d FoFrt 6r
<br />,",. lL'lb-Zo
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Ranqe
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />Openings
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech.
<br />Final Test
<br />Meter Release ll At t a
<br />FINAL ilbl w
<br />Notes, Remarks, Etc.
<br />MECHANICAL-INSPECTOR RECORD
<br />tD/stG.
<br />Other
<br />lnstallation
<br />-7
<br />_l m .i..nF ur<td S.dnrn_, It & P.C lor rha rd&r
<br />D.r.: Orn6:
<br />x,tu.I'tJC 2 -Z1l -4'lt 3zZ 4\o ,-,i'-,1-l- Z.--zt
<br />kd6 t^dd6:
<br />-
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