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APPROVALS DATE COMMENTS OTf,tlER AUILI'ER DEITARAIION <br />I h...!, .Ir@ uldd palty of Fjut, lhr I m qaltci fion rh. C6l!r-r6 Lac* Lr$ for tlE folhri,E la.n tsd.7ol l.J <br />Bcins !d thtdirf, Cod.): A.y Cny or Cody wttt r.qsi6 . Fni lo FrE J.t .lta. irpovc &nolilh .r rqu oy <br />Iocru.. Fi.rlo ir ihd...ho r.<tlt! r +li&r f.r rdt Fnn ro fk r liyrd nr.Er rllrllorrt irlksn d Flrrd <br />to rlE Foltbd of rlE Coir-rd! Lie4.il Lrw (Ctd6 e, CoElldiis *ih s..rbn 7m0 ot Oiti.ion ! of rlE Bqi!6.!d <br />!D&..b6 Cod.) or thtr IE d JE ir d.dd rhdltln -d rlE b..i tu rlE .lkt d qothn. Any rbldhn ot S*rion ,0t 1 .5 by ey <br />.rpliolll fu. Fni utian. rb. .ppltclr ro. cililp6.Iy of d tu th6 lil.I'u t.d d.,lbr {t500) <br />-1.. <br />Moflt FDFly. q Er.qbr6 slll sra6 ! [Ei -L onla.iE w &o.wt.dlbfiEEaBl <br />irol(lil Boftrd brt (Sc.roaa.I}IiEnd ?rotri(Bco& Ttr Cod.dori Lts: ts&'€.orQl,lo -owoflt.Ftf6ly *lb h,&r d iqD€ tL6. d wlD.b6ldr Et hid.ltor hailld rl@uat ta B lE M alpblc <br />FwU.d lb rat i!F!r6GE lcddotutu .t ltb€c.drt il.ttailsudidrilbcr{ <br />of(upuin t o',E Euldr rU LE dE hldaofFEil lt. lEd ft tb 'Fl hrlda iryr ltE FoFt, fo.dE FtF.Goa <br />-l.ffiof0E <br />FlFry. Ealritrt,o rjrig *ti ltqr.dodr-rsro @ir'xl dE Foj..r (Sa 7Ol.{. &dErn EDtdn C.od.: Th. Codr-ld i Li!& Le .lo- Dr +ly ro e o$E ot rrcfEry who hril& d irgoB fi.qn <br />.d eto cod6 ft. ert Fln! w$ . Code(, liqrcd Fn- !o t Co.n-1d r lilE tel <br />-l6nad <br />to(bsetb! .l eP.C.tuthard( <br />\axn.L&I1lluft:NAj <br />Dt-( l..r{,r llrr\ <br />ll,, \iir Dirtrlld Nf.,Lr\olr rri$tr'r (1.! n o\ <br />I 'r(,trtrltr,| nl,trtr.,fr(.,r1n..,,1(,{tr.' r r ri.irLlnll., l\\(,,r{,..nr*lrDrrc o <br />rl($oll,!\1,tr1'rl'Nt)mn,\tr\(l[T\\f'ldsL,nNtr\] rJ\,tr\f,trrd.'. <br />'otJ .Ety/S ..4 PP <br />,,t",, lZ/) y'Z4).1 /^2a C7t- r - T7 .' <br />--l cdiit lhll in lh. FaolN ofrh.*ork aor $hi.h thi. pann ir igu.d.I rhlll,or dpht u, Fen in rny nandr ! ro b@m .ltitr to rlr s! 6'cohFlnion l!$ ofc.lifomn. r.d.tr rhr it l llruE hG.E tubjGr ro rllw*a' @npaEcid Foriio6 of Scraon 1700 of rh. L.!q Co&. I tbll. fonh*irh omply *irh rlb- FovnioB.. <br />cni find up lo oG hui6.d lhsnd &rlls (llm,om), in .ddnion Ltn,t(\ h t,, ,,.ril ltr rhr <br />Sd.n 1076 ol r tltor Gd- i d <br />^,.3/i dl277 <br />I hqlbt rlrm u.kr FrX, of Fi6y ln. I m li.sr.d <br />of lh. BdiB &d Prof6bd Co& -d D, lioE ir ii full loN rn crter <br />a-,r**,1 <br />I no!6, .,Im unb FElty of Fjury rhn rlEc i .is.d (sc 1097. cir. c.) <br />ladiry +tr' for llE Ffo|llltr. of rh. rml for qtich ltit Fbi i <br />lidF ! A&i6s: <br />affu(at'|-lllcl.aaauo! <br />I tEd,lllm uid6 p.n.lr, ofFlurr.n. oarh.lillosinr dsldr nr3 <br />D.ennion Pdmn!-Asb€lN Nolific.rion lldsrl R.lulnrions( InE40. Pdn6, <br />R.qoncd hrd orNori6crion o <br />z,^,,,*,*. <br />l.rl.rd Esulal ioN Elo drtr[ab6lo! rdnolll.r. nol {plt!hl.lo lhi! pn)..i <br />. <br />'hd <br />rh. rb\. i.lomar ion i! coBl l.Ucro Nnply $nh.ll( iU iiJ ( oury <br />odaM.6 od Sld. Ll*. Eldir$ to buildinS <br />.hoE ihrb&d Prlpcly fm iiqrrhn <br />Appl'.tui or fud sis@lE <br />(.n.,unlhn.h\ nlh, /.'qr(anr r6n <br />,:,:^".'rr);,/r;* <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 />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 rtlt lrt L<-lrOa <br />Notes, Rema <br />MECHANICAL-INSPECTOR RECORD <br />tD/stG. <br />I <br />I <br />I <br />^,,-", ( <br />-s4fi;7zs lz >