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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Com SSO T <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulalion <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residenlial Range <br />Other <br />Hood <br />Ty e 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 l I I <br />FINAL a n IWJIW <br />Notes Remarks Etc.lt , <br />OWNER BUILDER DEL(ARATION <br />I hftby.ltm urd6 p6.!, of Fiu., d{ IoB@F iln $. C.tln 106 Lt€E t^ b.lh.buosiIg lan (s..-?ollj <br />etnn rr !d Prot jo C.d.): Ary Ciy d Cd'ry *nth EqrnE . Fni ro o'iIrl. .!E. n Fln dd6li{! n ,qi -r. <br />nrGru.. Fidto ii iltleq.ro dq,i6 * +dii tur8hFnn lo nb..ti'.d lroE rhr lEor rE b licq!.il Br. . <br />to rh. FvirioB ol rh. C6Eror'r Lic@!.d Lte (ClEfl6 o. Cos,,]ffihg wirfi S.crion 7000 of Divirio. I of rlE BBils rnd <br />P'.kbd co<L) o. $d h.6 rE i aalll thdrtoo od rlE b6h fo, rh..lLscd .ranFion Ai, vbldio. otsc.ibn 70!1., br 6, <br />s[.d roi.FDi sl*trr dr @li.d ro.cirilp@lrof 6t trEdn lh! lm.H &'lln tt5o0). <br />-1. <br />. o9G otrtc FlFry. or fiy cmphrlr, Bth *!t6 .r rlEt Fb orFslion. tri! do tlE *!.1 <br />'td <br />rh. rrud@ ir mr <br />nlaiLd o. ofirld tu .L (3...70a4, Edita. ed P!!ftlbl! c.dc TIE Contan . Liuc Lr*.b6 lll ?,ly lo e osG of <br />lh.FlFty slD boilrd i+sEibe d wb &a rd 6t hid.lf 6lE-lIr rhq8t lli q h6 oE otrPr,r<, <br />F.viLddi eh iryoElrdG'!. irqrddotu &..|c lt hort€.dEt ilditi6n4..Ed a-!*thhcra <br />orcuqlrir! tlEo*6 &il& *iU h.E E hr{ar ofFovins tt'.lE n rlE dil ml hild d iiFoE fi. FDFI, b.lh. F,D*of <br />l. d os 6 or rh. ForEr!. d .r(lurn.l! (or .rr l,'3 Nrh lic65.d conrr&1o^ ro lodru.1 rh. F.rd (s< 1(rll, &6'N <br />.d PFfarrn cod.: rh. conkrct 'r t-ic.ns. l.a$ d.6 not lpf,lr rd !n o* nd o I fioFi ) { h. huil& or ih}d .r rhd d'n, <br />ind uho o et ft, iuch rNJdr \ irh , ( onlr clodn li(o$d punoinr <br />'orh.(nnt,cror'. Licascl.u*) <br />-t 6.6F '6rb S<rbn--.8 &Pc forUrit t@d <br />(r*trd _ltof,f,t8f-(tutl:lsall0! <br />PEOAAAIIII! <br />I tdt, .rm urda Ddrty ofFr{.} G ofr|r follo* ilB dclrnilE <br />-! <br />h.E lrd eill d!rt' . ccrifqL otcoer lo Sdf-l@ 6. ldtd clo@rbr a E otLd lU h, Scrior !700 of tt <br />t &. C.dc ft. lh. e{&ole of 0E sl ft. !l'tt th. D.Bh a iDd. <br />I h.v.mdwilln.i lin *0116 c.nFu ion iBu6n.., ! r.qunld t'y Sc.ibn u00 ol rlE I itrrr Co&. to, lh. Frollr@. of <br />lh. srl tor wfiich lhb Fnil ir i$xd M, s!rl@ ompoldion iu.e...Mir d'd polic! nu'rtE s.: <br />l.ditlt b lli Ftollrc ol llE rort 6. $hih tiir Fri ir toGrL l ddl bl .qloy iD paen h oy nltE <br />- s ro b6.m Ebi6l to dE rdtd' Mrqari, L*! ofc.li6dr. &d *6 rhr ir I JFlld baom $U..r r. rh. <br />erta' onFstion pmvitiod olscrion 1700 of lhc L.hot Codc I Crll. fonhwih smpl, wirh rhoc pFrii.N.. <br />Serion 1076 olrhc Lrbd Cod.. hl6.i ind dlom.y! <br />| {-,. r2t> <br />IJCEIIEDJOIIBACIOB <br />DE|aSAIIA( <br />I hdlb .r&6 'd& pdry of Fir, rb I d U.aid 'r.b FDthn ol(rrSd e (6i!Eie *ih sdir 7000) ol DniiE 3 <br />ol tt BdiE -d Piordo- Co&, -d n, lta!. i in tull frc d .t&.r. <br />(" t t)" <br />(aTiIAICIANIIIDIICACEXII <br />I hc.6t irlm u.dcr FElr, ot FjuD_ rhd rh6. ! r slrnnd.. |.dinr r*ftt foi rrE Faomftc . f rh. trort tu s hrh rta Fmi i <br />iilu.d (Sd. 1097. Civ C.) <br />I dddi adt6 <br />Affura!-LDECT &\ltoli <br />lh6.b) oi&rn undd tElhyoiFju\ on. otth. nnkr$ in! &.h,!!n'ns <br />I)<mlirn Pmn. Artsro5 Nor,lic.rtrtr F.dsilR.ruhk,nr (lrk r(r. Pintl <br />R.qxn.n larrolNonli.dir <br />I .diry fir lh. f.dan ErrldbE l!!di,8 !t n6 r.mrd c d @liruc lo lhir FDF <br />l.difyrha I h!v. Hd rhn lppli.ll ion d.r.r.rhd th.ali,!. infonndion i,cor.fl I isrd r. ond, snh .ll ( it, dnd (-o!my <br />ddine6 tud Sltlr lrsi Elditt ro hliUiir .orrNd i.'r. .,rj h.86, urhtriu Ep.6srdn€ of rhir ( ny ind ( 6oly ro dr6 uFo rh. <br />.lEvc lmrhn d F!F, fm iBpcrhn FrFos <br />^per'cd ^sd <br />s,E.ru,. f t'" . d a7. rh. <br />P-nira ll@ lFid):_ <br />uMlrt <br />a <br />a <br />I <br />J- <br />F