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APPROVALS DATE tD/srG.O1''!IEIT BUTI,T'ER DII.{AR IION <br />I hc.ty.fi'Ei u!& F.ny of Fioy th. I6aaF fio6 rlE Coin-r6 U.4 l-.e fo.lt blbwt's tx]tr (S6.m31.5 <br />&ri.a ai PrcbiD co&): Aly Cn, o, coud, *,lrtb ,!q!i6. FDi ro @t rE1 .fr. iqlvc t@li[ or tq.i &y <br />du<rG. Firlo h! i$sE. & tquiErll4pltsl 6. Bh tdnit lo 6l..ri!..d i&d r[, !.d it itliut d F6El <br />lo rlE Fovilia of rb codr-rat Li6r.d ue (ci.F6 e. co@i.i eit S<rb. 70O ot Divhbr 3 or dr &!ir6 r'd <br />fD8io6 Cod.) d dlr lE d tlE i a6gr 0!adm &d dE tli 6r $..11$d qqti!. tuy vbbbtr otsc.riE 70-i1.5 by &, <br />+di6r 6r . FDn sbjei! rL +li..d ro . civil Frly of d mE tt- fiv. ndH <loU!. ($m). <br />-La <br />otGotdE FoFty. d dy6pb6 srt *t6. rb -k oopd... * &tbEtdlEtdeidr <br />iiatd coftld 6. il (Sa.?Oaa. &!ia -d ftltid.o Cod. Th.Codrel lic l3 &a Er #y b norEof <br />$.FtFr, *rD bB a iqo€ liao. d rb rl€-.t 6t ticlror t .dfdtlu{hiidbomcAb}q <br />FoviLd ttr rcl i4r!!@ E Ea ird ao,lH &..t. l( t6@. rE h,Es d iiFqid i-Etdhc raot.qbirtlt.o*Ettrbsi!br.t hr&ofF*tlhbrac.EDlhdairywlt FlFiy6.drFtpo..of <br />l.!('*Eoflt F!'rt,-slliE c.dr.<r!B wit li.s!.d@fr*roiio @riud ri.FDjd (s...7ga. aGir <br />-d ftdii. CDd.r TIE CoG-ld . liEx L.r dE dr +ly ro . ffi olFbpdy eto hi6. d ioFlE Ods^ <br />D.l *t @na h. rd FDj.lt eit. CodEdtt| ltat dFnilott Con-rq.r kc rry). <br />I @CtaE o& Salbo_ <br />loasllst(olrrEltalloti <br />DECIJAAIIA! <br />I hstby !trm urda FElly olFiury m ofrlE follosiry d6lr.iios: <br />I hlrc sd will nsiflroin a C.niarcrlc ol (-(!nht lL, sclf. rEur. in tr(trl6 omFEd ion, .r pmvtcd for by S6rn,n 1700 o r rhc <br />llbor Codc aor th. Ffommc. o f rh. $ay{ lttr $ hi.h th. ton! n isud <br />I hnv. Bnd rill moinl.in porlcN comp.Nstion inrurrnc., s r.{uiE l t'y Sdion :u(x) ol lhc Lb{r Codc. lor rh! Polomm.. of <br />$c $ork lor sfiich tnis pntrir i! isuql. My sorkd co.rFBalion iBuroc. cei6 ad rbli.y nuobd &. <br />c*- C-tofcss a^5 \.o <br />N,.b-, 1/l c!-/9o1t r!r-\- t> <br />I cdiry ti, in tlE Ftolrl'ec ol dr wort fd rtrh rhn Fnn B iruc( I tllll mt rqro, @, F$n i! my njllE <br />s a lo beod $t!al lo llE *ut6 onpaldhn Ls ol('.lifo.trr., od ..G $r if I tlbuld bdom stirdl lo tlE <br />srtd omp6rri,. FovirbB ofsalio. l70O of llE lrt r Code I .lrll frlnhrnh corply wnt tlrE FovibB.. <br />\Y INING: F.ihft ro c@ 6Id' 6ip.!rih ov..S. a ElstuL -d .idl &brd & oqbF lo ohi.d pari! Dd <br />civil fr6 up ro oE hrittd thod.d .lollr. Ittm.om). h .ddirbr ro tlt or of @'n9.diio. d.d.g6 ! p$vd.d l lr <br />Sdrbn 1016 of d,. Lltor Cod.. idad rd ndrq . f6.c4----6-1,1-\1 <br />l.lctlltDto[ttaclna <br />DEI'TAIIAU <br />I lq*yreD @d6rdyofFilryfi I E li.d '!& Fdo. ofct na 9(coocir,ii scain nm) of Dnib I <br />o( lt EdE -.t hDHo-C{dc d Dr lbc a b n f..Ed.ft.t. <br />t5 1'frtcc <br />o.r. G-a1-(1 .---.,X-C /-- <br />c{Ntraqa!.rElDDctc.EM} <br />I idt6y allm u.(k FlXy of pdjury rhd rh* ir . onrtudi.n lodbr ry*y for rh. Ff(llrrrle of rh. sri 6r $ti.n rni pdmn i! <br />is.d (Sa. 1091. Civ. C.) <br />Lnd6 r Nm.: ___ <br />6lfl.1(ANfDtg.Aa^ll(lr <br />I horl'y allrn und..D..!hy olpsjury on. oflhc i'llos'ng d(lffar(,ns <br />l)mohion Pcmns-Arb66 Norinc{Nn Ijalarl Rqrtrldrk)i. ( l l..l0. Pdt.,) <br />R.qut.d ldr6 ot N.rrfi cdx'n <br />I .diry rIIi dE fcdd.l E8lLiioE rB.diDS 6h.!rc lleul & @' +plt.U. lo lhir F!$ <br />-l€it&nItErddrirndilb..drd.fi.tl'.&EirbrErira.qEc.I.,rErooqlywin.[cir,.!dcouyadillG nd $r. l.s ,&it lo hildi4 oirr!*rion -d td6y rrlEn! rqdrt€ of &i Cay dd Coudy lo .da lpon UE <br />&E di,r.d FlFq fo. 4.am Frr. /, <br />^-0.--^,-.n-*. K (lL'-';-*,,; ctrG-64il 6-7.1-O <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Com pressor <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 />Other <br />Hood <br />Type I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openings <br />lnslallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release <br />FINAL +-/7- lrl /2 //3(/ <br />Noles, Remarks, Etc. <br />A- <br />d Z <br />/glqaol <br />V,4/t)>//b-4./// / <br />MECHANICAL-INSPECTOR RECORD <br />COMMENTS <br />I <br />I <br />I