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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-lnsulalion
<br />lnsulation
<br />Smoke Detectors lnstalled /.\
<br />Rough Ductwork 5-l-/7 )Y.Kr 6lv
<br />n\
<br />Toilet Room / Clothes Dryer 5,-1 'l-t7 v.w)(,
<br />Residential Ranoe u \)
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />Openings
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech.
<br />Final Test
<br />Meter Release
<br />FINAL '/tlz4,r+:Notes, Remarks, Etc.
<br />OWNER BUILT'ER DEITCARATION
<br />I bqlb, .fim uidd F.ly of rEjdy th. I d a.6pl 0.o rh. codt .16 Li.qE tw b. tlE folb*tu ..en ls-.m!l.J
<br />&6iEt d lrolt iD Co<l.} tuy Ciy G CNry.tth ,.qltB . Fni ro @r!nld. .la. in .oG doDliA or qi -ttllElc Fu lo ilt ir.l.r to E+tE llE +rli,l tu Bt FEi lo tL . iiSi.d ir€Er 0|r lt or r[. i ltoB.d ldrrd _
<br />lo th. FlvirioN of 0E Co!trer6! Liccd.d Llv {Ct plq 9. Comtrini eih S.crio. 7000 of frivilion 3 of lh. Bqin od
<br />Ptot$ioir Cod.) or rh.t h. s !h. b a!n,l rhqdon nd rlE t .b for tlE dt g.d qorgron. Any rioldhn of Sdrbn 701 l .t by rly
<br />.rdid br. Fdir tuU..$ rl! .pplird ro t civil F!.Iy orDr ,t@ tlo nE hn H &[d (!500]
<br />_1. a ffi of rh. FDFty, d 6y mpblc ett *.86 ! rhci, $L N.rpddioa. *ill & $. rqt rd E iirl@ i! tbr
<br />ii?d.d d ofl.rd fo. rl (Sa.7044. BNind od ftlfqhd Cod.: TIE Coflr*rG r Laq@ llw &s rct +pl, ro r osia of
<br />tt Forary sho bitl d iF!€ $6o!.d who.hartd mli him.llor talf d tlrugb hi c ls om mpbtG
<br />Fovi.Ldrh xdr iqlrid E or ir-d.d doEnd 6r.L lt lbl.6.tn. tddit d i'F$q6 b$6 rahir c rd
<br />of 6+Lir!. UE O,E &ilb wi! hE tlE hrdqr of Flvit t a lE d dE (E rEl hdd q tt!.!E l,E FFtl tui lL FFr. ol
<br />-1.
<br />- ffi oftlE FlFrt. e a.tliEly.odrriB sit ltE d coff.rBro sirrtlr rlr tmrdr (SG. 7044, &e
<br />rld h!td! cod.: Ttu co.n-rd! LicoE Lr$ .b6 ml .p?lt ro r olc otFpdry *l'o toil& or inFort' ltE@tr
<br />ud *lD odr.lt lb. rlct FDinr win r Conn ro(,ltq!.d F6qi ro r,!. Co'rrrid ! Li(!e L.w).
<br />I d.rmp( !,ic Sction .6 &P.C forrti l8n.
<br />trqSf,ESl'saMfEllAlla!
<br />D&q!d8alla!
<br />I hEr$y .mm un&r Flhy of Fiury d ofth. ft'lbwiB &.lrdioc:
<br />I hrtc dd will miiuii i CqriEcd. oaconsr o S.lf-lNE fd wrtd-onp<dion. 6 F!!id.d 6r br Sdn.l7O0 01lh.
<br />t lor cod.. lq tlE p6fomec olrh. wo fo, etth rh. pdnn i! &u.d
<br />_1,$t!dlill ifl.u *ofia .otrlp.E lb. i,sG..6 ..qui!d lr sari,n l?m ofrlE t bor(6&.for't Fflllllla.ofiE wl ft{ *lrict rhn Flrir ii bEt M} eott6 onF!.ion iffi crris ,i ,olb Nnb6 E:
<br />! R t ---.1.* Lrl-S , a.l' Ll Q tsJ6.-g ,
<br />rorryuntc, rr (. b 5d | 5-6_4 b-i -*,* f& oz:l 7
<br />I cdiry thrl i! fiG p6lo@8. of lhc worl for shict lhi! FEi n irucd I $!U ml onploy .nt Fton in .n, 'nmn6$ 6 ro b.rom $t*rr ro rL mtt'''onFlrion LE of (.li6mi. .d TE rhi if I tlsuld b.<(tr objd ro rlE
<br />e.rt6 .mFErb! Flririd of sdbn l7m of rn L&. code I tdl. frtllEin oq,lr rih ft& F.sbB
<br />S&rir. 10?6 otrlE tj.. Code irn.rr !n fidEy
<br />ucfNsELgltrrEag!f,
<br />IEOJf,AIIII!
<br />I ufrrq .afm r.d6 rEully ol pqru ) rhn I u !Gu.d unds I'or ilion of ('ljlpld I (codn@i.s \rhh s.dion 7(n0, o l D,rnh. t
<br />ol lh.Aulindmd Pmfdionr(od.. rod my licdsc i! in full foE rnd.lld.
<br />l'.ctr\.(1,'s L\
<br />D." -2- lb tl (on,rrci
<br />Qriuarcu^_LEutrc-dcEN0
<br />I hs.t ) ollrm und( rr..hy oltslrry thd th6. E ! coBlnrd('n k{dins nsdcy lor rh. 16hmatr(. ollh. so,ll (tr \lr'.h rhir Fnn ;
<br />Bsu.d{s6-10s7,(\r ( )
<br />l.nd.'r \in.
<br />\l'ft-( \\ I Dh( I \R !11!]1
<br />I hdd,r.fth re Frry orFir, m olrlE blbwinr (kL.niEl
<br />Doolirb! Pmne^t!..r6 llorifi.rbr &.1 R.guhir (Tib 40. PaG)
<br />l.q!i!d L.ilq of Norific.lior
<br />I cqriry thr iE f.dr.l E$hioE ESrdiig .h.n6 roD\.| G Dt +dst& ro lh! FDj<t
<br />lrrlr'lrrlr lhr\r,.r(lrh'snfl,'., trnitotrli,i.rhrrr[.r[^. nlum{k], \.f'rrd l io smply wnh rll( ilylnd ( our'y
<br />,rJtrLtrtr(\.trtr] \r c l.n1\ ., i"! r, ltr'lJtri! nnnr'l (rtr, r.,u,,i ofrhi. chy &d coury b ar6 rF! rt
<br />.bo!. nEnirrd Fqdy fd *.,2, 16117
<br />IIII
<br />COMMENTS
<br />","t'2'L6- \1
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<br />P^ r* ** tl^t y're .i\ I I
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<br />Vents
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<br />V-u"tt rtg
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