MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.
<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 />Rough Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Range
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Ducl
<br />Fire Damper
<br />Openings
<br />lnstallation
<br />F.D. Drop Tesl
<br />Above Hard Lid
<br />Above T-Bar
<br />I
<br />Rough Mech.xll,ol*NTW
<br />Final Test
<br />Meter Release rl I
<br />I
<br />FINAL
<br />=
<br />Notes, Remarks, Etc.I
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<br />OwltEf, BUILDET DEI'ANANOII
<br />t n6dy .flim unda p@rly of p6idy thi I 6 qdiF tob rlE Cot r*lN Li.aE Ls for {t folloriis tw)tr (56.701 1.5
<br />&Bin6 !d ProG-o Cod.): Aly Ciy or Cood, ehbh ,.$ri6 . Fri lo @d ( .It. inFv.. 4@ldt or t4.ir uv
<br />ilriBFi'bG bc.,.lo EqrrEdE@lirr aor *nFoi lo 6k..itEd nraEr rtit qftalid Frird
<br />ro rtr FvibE of tlE Con*fi ! Li6Gd Le (Ctqd ,. Co@iDt *nt Sarbi ,04 of Diviro. I of dE BuitE 6d
<br />FrefBioN ao&) or thd h. o. dE i d6pl thE fon .d llE h.i. for lh. .lbEd a@ptio.. tu, rioltlioi of Sdion 701 I t b, o,
<br />pplic. fo.. FEit ubj61! rlE itliclnlo.dvilp. tyof mr mEth,liv. hutxH &Id(1100).
<br />-1.
<br />oc of tc FlFrr. d ry d91ry. wih w{s B {ri -l. @oc.dior. $[& rL wr d 6. rndG i d
<br />irio.t d c oftrld ft. rL (sc.7044, B{ti!(s nd EohiE codc TIE CdErld ! L(6* L*.ts @r ?Pl, ro - osa of
<br />rtEFoFty wt! h{ib d itgoE &da!. !d slb &r Mt s* hnEdtor ha*lf or rllddt hit d ta oE otPby6.
<br />Flvid.d ta rEf, iryu!,6 Gd ir-d.d dofrtd 6r nlc l[ lnltc. rt t{i1,4 d n4mvsd i Fld wthio 4 }aofeqbi!. U.o,c a& w hG0Eht{tolFwigih ltdiEddel tritda iqlGt FlFq brbFrPcof
<br />_1. B ol,E of rhc FoFry, d dcldEly orin linl wnh k.s.d otc&rotr ro Nr(Dcl llE Fj{xl (Sc. 7044. 86!B
<br />!d MriE Co&: Tl'. Coltr*roi. Lka& Le &€ or l,rl, to , osc otFtrFi, wh. h,ilt d ioFot6 li.oE
<br />6d *io o.r'E &. Bt geinr dh. codrxic(r) li.E dFBrdb Ecofi-e r li@ try)
<br />I o.rdF @da sction .8.&PC forthn r6on
<br />l!!8rE8f'grMlEdsarllr!Dloltrlto!
<br />I hc.by .mm utdd p€uly ofFjq oE ofth. lollo*uB dElr.rioc:
<br />-l
<br />t E dd *ill @id.h. Cqtifr.ic of Co6d lo SdFl@ fq wr6 6!l!dtt.ioi. ! Fori.Ld fot tysetb! Jmo of tln
<br />L&r Code ft.6.Ffdc ofib Et fti rtidr lt. FEi i iud
<br />I h!r. ond ur ll m,'nrirn *.rk6' ..mFds.rhn isutn... s ..qutr.d bt Sar k n 17LO of lh. I !t$r (i\J., tu rhc Ffomm. of
<br />rh. so nn $hich rhB psnir i3 nrunl My $or[6 .omp.neion inrurmcc cMic od rElicy nunrhd e.
<br />(m CrPh tG Lo
<br />,r*r,u".,- In<rJ9oazql rirptr* [-\: t5
<br />-!..ritrL
<br />i.tLF&'i{cof t err fr rti.h ttir F il ir is&.L t rllll ml.!9loy&y Pae i! oy ElE
<br />- ! lo boc rniar b ttc rqL.J @qdnd Lrr olctli6ftn nd ryE : ifl tlEU! tc@.U<l tort
<br />6!ta oqd.rb! Flviir o,s..rih l7m ofi[. t &. Co& I ldL &rtlrrilh @41, oit lk !. Fviba.
<br />W,{RNINC] F.il's ro E@ *ut6 6E!@rb! ovqlgc ir @Lr'tul rn rhdl sbjd d atPbF lo oiDiDn Frrb !d
<br />civil 66'+ lo @ hnd tto!-ad &lln (tloo.o@), ii rddirbn ro rb. cor of .oq@rbt (h.a!r ! FviLd ror rlE
<br />Sdlbn tO76 ofrhc lrb.. Co<E blar..d ndlcr'r ftG.0A-6.u-q x
<br />ucEa$lsotsrtacrra
<br />DICTAAAIION
<br />I h6rb, dfto u,& ,a.lty of Firy rhi I E [.d drb Fv&r of ch.Fa 9 (@''a vih sariD 7000) of Divitbtr ]
<br />of rlE &!iB &d Prcfir.bN co&. Dd Dy ltqE r i, ful fo@,!d.,Id.
<br />,.--r* g
<br />O-1t-rr ."",,."..X C
<br />cl)lslal]lrot-ullttlc.Atitdsr
<br />I hdrby .rrn undd Fuly of palury rha rhd. ir. (dtuctmtr knding lBtry ld thc Ffolr1@. olln *{A aor snich lhs Fnrn s
<br />i$u.n (S. 10e7. Civ. ( )
<br />lltls'r Add6:
<br />,tpput-,rt ir utcr-ala'rtol
<br />I Eu,4 .llmr uf,rtd F..h t oa Fjur! onc o I l,'c ldlos in8 d6u6t en3
<br />l).mlni.n Pmns.AttBlor Nol,6c '.n F.rl6,l R.rul,r nn l I nl. r0, Pd6r
<br />R.qur{ lnls of Nol'fkdbn
<br />-l
<br />.dlit lhr {E ftdanl rcsllliod rlsidilr .b.nd @vrl n nor ryli..tL lo lhi! Foj.6
<br />I..liryd.Ih.v!'Edrhidi,lih.dnn.rht.boEiafo.ruioai.qr.d.Itsrtioondywil.ICiry.!.1Cou y
<br />ddi[,EEd$d.t,sr&ilBtobsiuilg.odnrt'll-dhEtttl,bri4EFq.nrh.of0!iCny-dcorlrylo.6r4o!rlE
<br />ihov. mrion d Dropdy for f "'[^---
<br />Appli.r or Ars Sbnrurc
<br />e6 -*, b-11-r1
<br />llD/trI/fi\llwl,
<br />COMMENTS
<br />Q4qtvu
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<br />I
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<br />Smoke Detectors lnstalled
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