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MECHANICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS o\r\t.R tlt .Dt:Rlrlt r \RrI(r\ I hG.!y.tIm u!& F.xy of Fi6y rhr I m d.i6 E@ rlE coff*rd Lkce ls for rh. blloitc !60.lss-r0]lj Bsi.d !d PtDtsbi Co&): Ary Ciry or Coony *hi.h rcqli6 . Foii lo sdtu.l. 6. i(Fuc &nolirt or lE.ir ar rlruciuc Fbr ro it! ir.@.. .lD rqiiE lhc +rlicel for 3(t Fnn ro 61. . ti8..d ddaEl lhn IE o. rh. i li<s!.d F[i.i' to rh. Folab of dE comr-ldr Li.6.d t * (n E6 9. coM*hr $ih Sdioi ,o0o or Dvirbn t or r# Bqind lld ftobbE Co&) n thr lEd rlE ir qdgr UE t!6 rld dE hlit br rlE dlr.d a.!plir. Ary vbhiotr otsalbn r0! 1.5 by.!y ?pltrt l .Fbn rtlj(tlrG. ryliqd ro..irilFulyof el llerl'o lir.tmd.d.blla (15001. -[ i ffi of lh FFry. d iy dnprorg *nh *i8d . ftn bL Nnpdurioo. *i[ d. 0E *qt dld UE rndE i! El idcd.d or ol[6.d br d. (Sc.7044. Bui6 &d Prof.$ioN Co<tci TtG Coflncrs! L.G@ Llw docr mt .9l'lr ro o orc of rt. FbFr, wtb hilrh r iFD6 rh66i..!d *lb &srdr sd hna.lf or f*lf or ftslrh l . d ha om dpk't6. FoviLdlhr eEn irylvEErr E.d iia.Ld q oturd 6r rL l[ lDuw. ti. hildiB d irFogd b -ld { ihh @ )aofqlplci!( l,E O.G &Jjb sin bE 6. hd6 ofFlvi't da lr d lr dn d hdu r irgDE dE FDFrt ti ,E F,ro.c of l. 6 .$ nd . arh. FDFry, m .rchsn.lr conkel in* $ nh [caral .o.nrad.E ro snnru.r rh. roj.n (s( 7ol.l, &s,@ and h'fi6$ ( od.: I h. ( onkockr\ l-i.os.l !s dod nor !tplt r. !n o\rnn nf'Iotl.ny$h() htril& or nnpro\cr ln($n. ed who onrrrts for sch rrcj.dr tr irfi . Conx&ro(, licaB ! ',u6@r lo r hc (i,nx doir I Eo* Lr\r I I n.rmF un ld Sari.. !1raliEEti:(l)uft:BliAlja! DECIASAIq! I h*by.mim lrda p.rdlry of Fju.y onc oflh.Iolhrsiry d..ls.lioc -l LE -d {iU !dd.b r C.riffcrc of CoE r, Sdr-tac fo. wto .o4.!ri,d. .. FdiLd 6r b, Salbi !700 ofit L&. C.d.. h ft. F6.!Er. of rlE .qt to. eitt rlE Fnt a ilt d. -l hrv. Dd will minrlin *0116 .onr€Edion inw.. d r.qui.d h, S.crion l70O of rlE lrbor Co<t, for rh. pqfo,ll,.eot lh. w* for whkh lhi! Fn n isu.d. My *orkd comFsolion i6ud. wifuld ,Dlty nunbd el PolkyNuntE I cdiry rh.t i. rh. Ffomft. of rh. *orl ror whi.h rhi. Fmir ir iq6l I rh.lt mr mploy -y pq$n h rny freF $ q ro b..om. suUjcr ro rh. m*6 enpordion L$ ofcllifomia ed lgR rhd il I lhoutd b.com .ugd ro rh. sorl6 omFN.lion lforLioE of S6lion 1700 of lh. Lltor Co&. I i!ll. lonhqnh .onply *hh lhos prririoB Cod.. iirdri !d rtonq ,,1{',d#t",,(; - Dr(L\lr\rX'\ I iatt, .rfh o.d6 Frry ol Fiury lhi I D lid!.d uda Ftra.ioa of Ou,rc a (onlrlErog $ih S6ibn 7ru) ol Divirbn I oa lh BuiE !n Pref{ion Code rn n} ltE. ir h tul 6N ,n.lldl -,,,2r[itri I hqlny !firm unds p6ahy of rrjury lnll lhd. i! 6 coBlru(ion Lfll'ns ird) aor rh! tEn\nnnnL. of ih. tr o LrshichrhisFnn ir iss!.d (Sa. !09?, Cn'. C ) L.nda ! N.r. Lad6 t Ad.tG ,tppr rt aNr ur:t'r.rurrtri I hsdr AIfdn und6 pd.lry ofFgJury on. ofrh.lollournl d(lrdrtuni D.mohbn Pfr'nirs-Asbdor Noriicdion l.rldrl R.lobrn)ns (1i'l..lrr, l'n6) lqtu!.d l.lt6 of Nolff,nnn I .diry lhr lh. Ln rJ r.!ul!lh6 E8rdiry lt6lot rrm! il s. dr tpplt.bL lo lh! rroJ.(l , .dit rh'l I h&. rad rhi! applic.rion ed rl.t. lhd lh. ftov. infomdi.n i! cotrd I islE to comply s nh iU ( ny 6.d Counly odi,@6 md sr.rc Lr*! Ebtil* ro tuildin8 .oN!tu(lbtr .d ruihort rlF6dlorn6 olthi ( ir) ed ( outrr\ ro mt6 uponllE //,-,2/t7/l< .hov. @riorFd F!Fi' for iEFri.. ADCi.li6Ar.dSh w P6Bhe ae (Fia)_reeNo\a€= Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation r-/B-t7-til o9o#,fry lnsulation {l-t- t'7 Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood Type I Hood rDlalr Type ll Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar ;-to-t'7 )Ytdi/El )L.. Rough Mech. Final Test Meter Release FINAL /"-?,9-t?J).5*:adt Notes Remarks {h*.a,, Etc ,[2) l"t)zJdl ,.a.A< @ @ V ),,Qd're /y9 I I