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MECHANICAL.INSPECTOR RECORO APPROVALS DATE ID/SIG.COMMENTS Appliances Metal Fire Place Evaporative Cooler Furnace Com pressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Ro ugh Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood Type I Hood Type ll Hood Grease Duct Fire Dam per Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar I Rough Mech.ll:r ltz M\l+1 Final Test t t-l I I FINAL ,llai ll Notes, Remarks, Etc OWNEf, BUTLDER DEI,CARATIOII I is.!y tIf@ $d6 Fu!, ot Fjlry rtn I n ciclql &Dm lh. Cod.r.totr Licog kw lor th. blowiry ig5. (se 701!.l Bui'6 !n Prorqin Cod.)r Any Cny or Coun, whth r.quiB ! panl lo oDrrud. .n6. iEFoE d@lith or Ep.i &y salEq Fn(ro it! iBlrq .lo l!{iriB rlr +li!n 6r qt FEi lo 6L. rirn d fiard rh lE or.lE i li.q!.d Fodr ro tlE Fo\.b6 ot n Codr-lct Ls@ql t * (Or4ra 9. (bot!ftnB *ih S<lioE ?0m of DivitbE t of ln. &rltE dd Prcft.ril Co&) d rld h. tr nE ii.rsnF tlE6lE ed rlr t-i for lh. dLt.d adpriu Any ybbion ols<rbn 7011 ! hy 6y rppli..fl lor . lanh rubjal' th. ?pli..m ro . .ivil pdhy of d hoE th& fiv. huidr.d &1L.. (1J00). L- ffi oflt FFly.dBy.qbrE*ilirTq.r[.i-L@rFrrn .sO.rrtbEr!dtbirEEit'lba&d dotuld &. -b(Sc.7oaa. E6ina &.1ltD&.ir6 C!& Tn Co|r.tla r LigE te &E Dt Itlt io - orE ol lt F!!6ry etb h (t d iq!6 $.Ea. !n wb &6 rdr F hid!.lfd iaElfor rlrolsi ii. G ir om qqlola Fotild r,'d en iw.or@.dr e 6r ir d,.,.d qo,!E!d tu sl, l( to9EE,0! bdd&s d irqoErd L eld with oE Ja of.qebbo. U. o*G Asilila *i! h.E dE hrb ofFovi8 t h.(dEdd rBl bqild d tE !E tbc FlFty b' [t F,p.*ol - l. - olE ofth. F.psry. & acluiwl, @'rEirB eilh lica..l coEtroE ro 6dd rl' Ftd (Sd 7oaa. E!it6 .id hltlih co&: Th. c.in&lo. r Lic.M Lr* dos er irply ro & owE ofpr.pdy who b!il& or iop.or6 rnqaD. .!d who @lrr*r 6r sh FJ.dr Bitt . Cod*rd(3) lta..d FJr&d lo llE Codr-ic r Li.!E t^). -l eaaF uia setb6__.&& P.C 6.rhb ,aJo l!,'r($oxklk\ r o\r |r \\\rri,\ l,Ill\ll\ll!l\ -l h.w &deiu tuiirdr. cdrift .of co&n lo s.lH@ 6r $n 6 dnFliioi.. Fovid.d t r b, Sdion 3?00 of$. Irld Co& 6r l!. Ffol]Ille otllE wt b. *tth llE FEn ir iB!.d - -l l$. &d s iU din.h *ort6 otrFdEiioi iMe ! r.+i!d Lry Saiir !7m ot$. t"6or Co<L. 6r tlE Ffo.llB. of llt hrl f6 f,tih lhir FEn ir irr.d My Hrt6 sr4@rir i!eE. ffit -d polky ddtq E: c* C.rOr(tr 'J"nr (a -,.,nJ,EL.s*Jls[\-\- \g Icqtiry$d i.t Flbtl't.cofiE rc fq $,tbh ftn Fni i3 ie.( I rlullmi aqloye,F$nbuy,rDq $ ulo b..or ebjc<llo thc e a.oEpq'.dion l.{ ofc.litoni.. rld.8@thd if I lhould bcom rubj*llo tlE s 6' orDp@rbi FDvirbd of s.ci'.3700 of lh.t to. cod..l ft[ hnhf,ith oddr eih dE FoEin. Sdlhn 1076 olrnc llt.r Codq inrdd ..d ,llonty r k6.r4-(s-11-(l IJCEdIED.COdIIACIOA DECI'8AIIO! I ta6, .fi'r6 ur& pa.r, or Fiury lt I a li.d 'd& FtikD of ch+r e (offii{ eirt S.dbo tuo) orDivirh l of $. AdE -d PlDtn(E Coda d dy ltd. i b h[ fq!. d .rE r. I (.nr qn)t(,G 0-1il-.1 CONSTNUCTION LFITDII\G ACFNCl I h6rby r{fm u"&r FuIy of Fjurr 0!a 08. i. . oilrrucri'i lddiis letry f rhc Ffoffi. ofrh.*6k ftr $hich rnir Fmil b i$.{ (56 1097. Cir. C ) tn'id r Addr<: rprltcelr oE( LAq,rrtol I hrttl !trm u..id Fnrt! of Fjury oE ofllE ftnhsing d<la rd D(ftnniln Pdrn!-ArtBtG NorirEtlhn Fcdd.l RqulnirB (Tnb {0. Pd6) R.qUiEd L.rtF otMrifr.alion nrd\ sirhi l( \in(l(,i'r\ ( 'r'.nJ (ntr0( n,.nkr nlxr lr -l carit rL rb Eik l!!t!!tE Elrdnt..b.r6 r@vd n 6r Alir* lo di. Foi.4 -l crri&rta I bv. rEd rti' 4di.ibn d lirc td d|. &c bhd.ir b cqn r.I {Ero @ ddiu!6 .rd $dc lru Ehir ro t{ildila oDiiEJi$. d H, !rlb@ .!F!ariE orrU. .toE r.di'r.d EDrar, fs i.r.6ir "r@, / I *,.- - ^n- ",.-,. Yt- U I L--" o.';-*-"*;ffi 6'1!-,"r altutfrrl I g I I I I I Meter Release l l