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APPROVALS DATE COMMENTS OWNEA BUILDEB DALCANAIIOII
<br />I b.!b lfm u.d6 pady of Fjurr rha I e d.6 6Dr rb. Codr-rN Lkaa. Lls 6r rll. rollooho @n (Sc.?o!ltl
<br />&!ii4 -d froftlb. Cod.)r 4., Ci, or Cd,lr ehih,quia . Fha ro oi!!nIl. .t6. nrylE ddhllt or qt nl
<br />r*iut Fnr io ilr iBlld!. .bo ,qri6 rlE qlatl frjr !.t Fdi l. 6lc . riEEd rrddn lhi lE d ,E . lid.d Flrrd
<br />lo rh. FneiriD of dn Co r-ror! Lica.d Ltw (Orda 9, ColMairS wnfi S<rion ,0m of Dirnion I of rlE BEino.!d
<br />Pbftrtios Cod.) o. rlul lE or .hc ! d@!t rhaliiom od rh. b.r! for lh. .lkg.d er@Eioi. Aiy violllion of Scrbn 701 Lt b, oy
<br />Fpli.. tor . Fnir ebi6t! rlE +li.. ro . .ivil F.ry ot6r EE rh, fi!. hlidEd dollF ($m)
<br />-1.
<br />! o*c otrh FDFrr, d Ey.qbr€ ailh $a8d ! $.t $L onp@.i'n *il& tlE *ql !n fi. rrEc a 6r
<br />idald.d or ofa.d tu.b (S6.704a. B6ii... ud PmfGlioB Code TIE Conndor'r Ltau Lle &6 mt eply to e o*c of
<br />tl! FDFIy *'l'o tlilt d iry!€ rtaEo. -d *ho &6 Ml trqt hl@lf 6r lF*lf 6 rhtuusn hir d lE osr anplolc.
<br />Flvidcdrt at aryor!!6 Eer i:ddoftld 6.rle l(,lDr.d. dr L,iq-t d ie.qdd irbu*iltcrcofdrprtin dn o*E &!rb *i[ lrE tlr h!&, ofFlvil rl: lE ( .lE dd di tsiE 6 iqlE dE Fofdr, ftr d! Frpo-of
<br />-1.
<br />r oq@ of rh. sqqt . u qdBiEly @flr-riE *irh lic6.d 6dr-rG ro oifiu.r llt Eold (Sd 70aa, hr€
<br />-.1 E!&.i!Cod. TIECo rsor'r Lt.nr tr*&q @r.pplyro !lo*E ofFoFnyslE t{ili@ i6Fov6rl'd@[6d *.to @65! ft. rrdl plj.dt wit . Cod-rd(, ltalGd F rd lo rL Coc-rdi Li.!. tn).
<br />I '.rcmFl und6 Sethn ll r li ( i{ rh \,..af r
<br />D.l. Onrn
<br />ti oRNr:lrq' aait fr NsA [aN
<br />ur(Iaadu)!
<br />I h6.N ralirm und.. pofllrr oI lEjuq- on. of rh. lolldr inr d(le.in) r
<br />-f
<br />bE d rl[ l!n.h . Caltu otcoc ro Sd[l r tr rqtd clqouir. d F vi!.d 6r b, S6rb. l7U, ofit.
<br />L.b. c.d. hr it pEfEtll.r of{t wt b. *ttlr dE D.ai h irld
<br />I h.rc.!d fill roinrli, Nortd onp.allbr ilfuk.. 6 r.quir.d b, Selh lrm of th. l- bor Coda for rh. Ffollre. ot
<br />rlE s,t t6 rtth rhii Fnir b i*d Mt *mtd mnpoEnion ilElllre nia .d polty @ob6 rG:
<br />l..drb lt i 'nlh.Ft mm. of llE *ort aor qhkhrntFsn ir is.ri.l sldlk{ mphr.n! Farn h.n! nmhnd
<br />r6rob..oGlotidlorh.$o&@conFtlrNild$roI(llifomiaxdlsErhdifIlhouldtr.!Elubjernrrrr
<br />sorld' compflriion pmvniom ols.<lion 17(10 or rhc lrE)r Codc, I !niu, tonh* ith comrly sith rhoc prolinrnr .
<br />IIARNING: F.it . ro Ge E*6J coiFE bn @rat. b @LrtuL !n tn I Ebj.rr , aTbtq rc cidd Flli. nd
<br />cail 6B 09 ro oE hurxb.d rhoEn ibls (ll@,@1. in .ddhion to llE @d or omF!.ioi. d.!ut6 B Fllil.d 6r tb
<br />Sdion 1016ofrlE t bd Cod., m6t.t dd mocr.3 f6
<br />'(-+,,^'tz-
<br />t lcxr93rr colYltacm{
<br />DSCLtAIlq!
<br />I hqltr dED llo& ldry of FiBy thr I n [6Gd @& Foviitr orctilc 9 (o,!!Gi{ *ili Scdb! ,o00l of DivitiE !
<br />of ti. &dE d hD&dn C.d.. -d or lbc i. h tuI &(a d.ft.r
<br />Lic.@cIB:-
<br />(a!$a!(IlaNrrtDtxc-ac}:!(I
<br />I hElr! amm undf tEElr! of tBjurj- rhd rhd. ir r 68tudr,i kdmg itd.\ for rh. Flnmtr.. of rh. $orl a,t \n'ch rhir Fna i
<br />istr.d (S< 100t. (ir (-|
<br />I ftid r \m.
<br />\l'||l ll \\ l lIl ( l \ll \ ll!\
<br />I H, dttn h& pat tyof!.iury or oirh.6lbri'{ debriE:
<br />DaElhb. P@il}^!b6l6 Notitrdion lcda.l R.8uLlb6 OnL 40, Pm6)
<br />-i.$irtrl
<br />t.(lrq of l{orif.rih
<br />-l
<br />.airy $r rlE EdsJ Er{hb6 Ei.dnl8 !t .o. mr.rt r ior .rdi.d. ro rl'! FDi.(
<br />I.olit rhd lhr\.Mdti!applt ion dd iar. rhar rh. trtFr. infomdion is cotrd 1.8'crocom,n\ \nhrll('n) n.d(oun!,qdled.,rj Sr.r.lss Elrrx kr ttriHi,B .odto.r6tr ai h(.6) ruthirt rqrell,rnB of rns(it) ltd Colnt) k, srq upon tlE
<br />.n \. lBrFEd F,trdr ro, u\ltrbn F,F]6
<br />Arpr(s, or A!d! s'roru. l 4'o-t V. Ddc
<br />Pon *ll.elFnr)
<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 Range
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />nings
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />lt
<br />Rough Mech.a ltultl ll,ll//Yl
<br />Final Test r t,
<br />Meter Release I I
<br />FINAL I r lt til*twlrt /
<br />Notes, Rema rks, Etc
<br />MECHANICAL.INSPECTOR RECORD
<br />ID/SIG.
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