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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 <br />---l <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 <br />I <br />I <br />I <br />Smoke Detectors lnstalled <br />I <br />I <br />l <br />I <br />I <br />I