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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNEN AUILDET DEI.C T TION <br />I lEct'.rEE !i& p@.1, otFju,y Or I m adF 6!6 thc Con .rG LiE Lry 6r da ft,llorit l*- (sd.7olft <br />AuiId rn kofcnion Cod.) 4,, Cny tr CoEry "tth '!$iB . Frt lo od.d. .id. iry.!v., &Elitl' or ,A.t 6y <br />l.r*ir.. FE ro iE ioaq rL. E+i- tlE +lic.,r tu 3sh Foi l. frt . lin d adaur rhd lE or JE it lic6!.d 'r@rilo $. FDvib6 otrlE Cotrl(rql Licot d l.w (Ctqr( 9. Coffiin8 *irh Seii,n 7000 ot Dtirbn ! of rlE &6i.6 ma <br />Ptufdiod Co<t ) or rhd lE d ih. ir ddF rh.rflh .n rb. tsir tu tlE .&r.d da$ir. Ar,y virlbo otscrbtr ?ol L b ry. <br />.ppli.ar ld. F6t obixlt rlE ryliod to..iilFolyof @t bE thn liE h@dcd &[,!. (1500). <br />,. s ow of$c FDFny. q ny olpi,r6 *ft *106 . llEi DL orpdlria wil dr dE wt d tlE ilxle a hl <br />idclrt d 6otu f.r.l. (Sa.ro4a. &!i6 &d hobi'E Cod.: TL Cotrrtld r Li.c* Lts 66 mr @ply ro Eolr@ of <br />tn.FFiy who toili d irq.lE tlEac rd wlh do6 s.lt hi ntBclf o. h+lf M rl@ult tb d lE om arpblq <br />Fovild ih.r $ch tiFoEidrlcrDl ilad.d d of.td 6. El.. l[ lEw. ill hlildir 6 iqwrd i rld ealt! c ]dol$?lrirr tln o!'c hi& siu h.\t tlr hrrh ofFlviry rri h. s JE .li] mr bJild m i,!F!w r,E FDFi, 6r tlE F!rn* of <br />_ -1. . ogd of rlr FlFty. 6 ddliEly olc-ri'[ wnh lica!.d cni.-rol| ro c.drtud rf. Foi6r (sd. 704{. &!i6 <br />od Elbntr co&, Thc cod.anor! Li.qE tt* &6 bl .I?ly lo d olG ofFoFty {to bild. d inF!6 dE@( <br />&d wno 6ffi 6r st Fi.n vi!. codEd(r) liE .d F@n b tll cod,-ro. r tie t4). <br />I trnu\r[ln trtr(ld :.\ ir 11 t\ l'( nr lh'\,.r!i <br />spaf,ESl.coMtstsAllq! <br />DECT {&{?ION <br />I h6cby.tIm undd Frtyofpajuryon oflh.btkrwiB &LrnirB: <br />I n w -d lil mi .n . CqlifEn. ol('o,9r !o Sclf-lN@ 6, *ori6 NoFEdio( G FlviLd br t, S<rion 1700 of rlr <br />Ltlor C.d.. f( tlE pdfl,l!re of rt rqt 6r $'lth rh. Fnn - i'!d <br />- I h.E.!n *ill ui .in worl6 conFu,lion N!lu.. 6 E{!n.d b, scrion U00 of llE t td Co&, tor llE FlffiG of <br />rh. srt ld whth lhir Fhn ir i*EI M, Eqt6 oorcrbn i'ffi (eir .n polty mab6 c <br />- _l ..nit $d b th. FfollEe of 0E Fn 6r *tti[ tli. FEn i iq8( I tLll or dlpby .oy pde! i! &y trlea <br />- lro h@c $tid lo tlE wld @Fr.iD bs of cdibnL &d {c thr if I {ruld hdlm &bicl ro rlr <br />ed.d' oEp@lio. FlvirioE of Sctbo 37@ or E L&. Codc I d{[ rnh,ih @.D1, silt 0EFlvita <br />\r^Rntncr t-ril4 o s@ Et@ oEpddin @q.BC i uL*tul .d rlull rubj.\1 D apbF lo aimin l Fnhb d <br /><ivil fB up to os tudnd llbulrd &,lts (t100.000). in .ddnion lo rlE d of .of,paqioD. d.dr6 s Fovikd for llE <br />Serhr 1076.rrt. Lttd Code ilrrd Dd aqrr'r &6 <br />\l't'li.rtrr: <br />IJCEIIID.COdISACIPA <br />DECldSAnq! <br />I tdrby .feo uoita p@ly of Fjir, ttr I 6 lidd 'd.td Flviir of Ctq6 e {.-*in8 wi! Selb! ?000) of Divtion l <br />of tt Euhq -d ftD&ri,[ c6& rd dy lic@ b ii tuU roe -d.ll.d. <br />(aliIf,llCI()Il,E![llGrrClA(I <br />I hd.bt rmrm undd Fn.hy of lrjur) rhd rrE. n...dru.rrn Lxjj,s !sc^*) ad rlE Fftqrl1m..lrh. qod ntr trli.h lhG r0ni is <br />su.d (s( r@7.Ctr C ) <br />lad6 i Nan. <br />Atg,rcaILDEct 68alro! <br />I ha$y .eb uda par!, of Fjury G ot rlE folbwiq <hcbria: <br />D@olnio! P66ir&A.h.rc Noificrior Fcdad LrfiirD (r.b rO. Ptt6) <br />-R.quiEd <br />L.ar6of tlotif.din <br />_ -l cdit rh. r!. &dail ,trdrioa ierdiit .rtdor rtuvd e Dr .Pplt$lc ro rhii Foirt <br />- <br />I ctliry da I h& Ed tlir e?ltrir !d,r. tu dE.t B u6.n!i[ i'c6r<d.I {E lo..qly whh dl Cny &d Couly <br />Glit.Ea nd $r. t,s,rhiB to hrildile .oEm*rio,t &d h6.t, anhorir. n?r6aian6 of rit Cny -d Cord,ro otq rFinE <br />.bot !6rio..d F!Ft, 6. iBpcrir FrDc <br />i\ffl'rxtrr !' ,\r!fr s'r .nu,r <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />N4 isc. 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.7//4//4 ,?uaa //L <br />Final Test <br />Meter Release <br />FINAL Z/t9/t2,4rbz*ftz- <br />Notes, Remarks, Etc <br />I <br />I <br />I <br />I <br />I <br />I <br />t <br />t <br />-J