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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDEA DEI'AR TION
<br />I ta!!, .rro udld p@.lr of Fiury lbr I c a.Ed 6Dr tlE C.dr-rot Li@ t * fd lli 6llowlt3 ,a|nls-.roll.t
<br />&ri,B .n Ptuld.ir C.rb): l{., Ct, or C@,ry *tth EquiE . Fni ro @ir^l.t. a. inFot!. dqelih .' ,4d -y
<br />nDc1uc, Fbr lo il! i.!!@. .!o Eqriq lh. +plicln for !!.h Fni lo 61. . rirr.d nnn r lhd lE or . ir Iic.E d Flr$.d.
<br />lo rlE Flvitbo ot tb. cofl!*ror.t Lhd.d tw (ct f,6 9. conlt1Bilg wih serb. 70m of Diviti.n I of ll: Buin6 6d
<br />P!o&.i,N Co&) d rll L d dr r dali rhddrcr.d th. t-i lor rlE dLr.d aalFii An, ri,hnn ofs.dion'r0! Lt by ey
<br />.pplic. forrFnnEbidr.rt*.p?li€ ro . civil Finy otmr marh6 fiv. iu'xn d<lolld(1J00)
<br />l. . (leG of rt FoFrr, d ay qqloja sin wBs . lh.i DL @.rpq!!i& {i[ do dE $flt rd dE ,utE i mr
<br />irqiLd d otrad fr. rL (Se.7ixa. &riE rd trofr-bB CorL Tll Codrrq . Lit. La &d 'Dr d, l,o m olG ol
<br />tlE F!Ft, *'lb hiLt d if,qlE llEE[ rd *ho.ld odr m lirulf or lE*ltor lllluafi hn m ha os drt r€,
<br />FoviLd rh.r kh i6F!€!.rr! c br irq{.d d otu 6r el.. ll ho@. rlE tuildirg q il4.DrqEr b $ld wilhh oc tq
<br />of 6l,kiG dr Or*E C,iLE -iI |rE dr hlda of twi{ tL lE tE.H mt hriE d itprM dE FoFly tr d: F,po.. of
<br />-
<br />l. s olE of rll FoFry. e dcluiv.t co*Irins wirh licoE d cofr-rd ro orllrud rh. F)..r (se 7044. &!uE
<br />rn h!&-r Co&: TIE Cod..ld r Lt.r L.w d6 d .p?ly l. 6 Nns oI Fop-ry u'lb tritd. d iED.oG $q@r!
<br />ud *ho @n-t br rEt Foint' wih. con co(r lk6.d Fan rro$.CoGxdiLiqBt {)
<br />_l @q@F 0d6 S.da._
<br />DECr_,/\ilTtot\
<br />I ha*, .irm u.dd poiy olFjiEy d of tlr 6lh{ in8 d-lrnirE:
<br />I ntv. Dd will roili.itr . CEriatlr. of Codar ro Sdf-l6@ 6r world cotrrpolli,n. 6 Fovid.d for by Salhi 1700 of lh.
<br />lrtor Codc tui llt FforiEr of $. *ul b. *tth rlE Fni a dr.d
<br />I hM lxl $ ill mlimrin s 0116' ..nFMrhn iEur.n.., d ratln.d b) Snlhn 1700 ot lhc l.hri ( od.. tor lh. psnr.rre. of
<br />lh. mrt for *hich lhi. Fmil i is.d My *0116 .omFMrion iNuraft. .Mi6 ard ,olic] numh6 rc:
<br />. -l odit fi, i! rlE Ffo!I,.G of $.6rt f6. stlih lhi. Fna i. is.( I idl or 6ploy ey Fen in uy lME
<br />D slo hcom ruqel lollEE d'omFurion Lw otcdilomL sd .tr lhd if I ihouE bdom tubrd lo tlE
<br />srt6' enFerion FDvnis otserion 1r0o of rh. t tor Co<|q I rh.ll forrh*i6 onpl, wih $or For'irioB
<br />WARNING: rlibrc !o su. $o'ts' comFnsrion (ndr. ir unhsr!|. dnd rhlll rlhldr a 6npl,,]t ro dnnintl Fuhi6 ind
<br />civil fio.r up lo oE hundr.d rhournd doll6 (lloo.(x)o). in ldd(ion lo rh. cotl o_l (n Fr$rn'n. d,n,s6 .r [xorid.{ tor lh.
<br />Sdi,n !0'76 ofoE trtq Co<|e i'n6.i r'd ildr,cbovt a
<br />UCEIIACqNIIACI9A
<br />OEI'tAIIOd
<br />I id6r .II@ urdd ,6.Xy orFjury rtr I a li@.d uldq Flvlion otolpG 9 (dffii! wih sdbi 7000) ol Divi.bn 3
<br />ol tt BuiE e.l ircfrlir. Coda rd E, li.@ | h tun bN.d dnEr
<br />(aXSrAl](Ilo|LIl:lDllCiCII(I
<br />I h<.h) .fitrm unds IEnlh] of Fjun rhn lhd. s ! cadtudrn tnd'n! aSsJ fir rh.lEn{,Mfr..frh. trorl h! tri{h rh. Fni .
<br />Bru.d(S( r(r'r. ( rr ( l
<br />1.6'la r Ninr
<br />ta!lb'. A4rta
<br />-
<br />Afrr'rr-trT n-r^r ^q flitN
<br />I HrGD!n& F.i, of Fiq, oa of dE 6lloein8 4.lr.lbB:
<br />D@Uii tEiil^.ld6 thifi.ain F.{t l R{clio6 Cftl. /O, Pn6)
<br />-f,cqlir.d
<br />Ldrd of NorifdiD
<br />I .sriry rlr $. Edr.l rquLi,6 r.s.d4 Gb.!.d @v.l c rir @lr.bL b rhi' FoF
<br />ffi#:ry ldiry .ol,odi|( rd ha{t .dhoriE r.FErrn€ ofrhn Cay .d Count ro ax6 l+o, rh.
<br />Pa6hc te (Fn):_Yr4,1n
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Ra nge
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />penrngs
<br />lnstallation
<br />F. D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rou gh Mech.
<br />Final Test
<br />Meter Release -,/\\'761ag-(a\x$.t{c)t
<br />Notes, Remarks Etc
<br />*7
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