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MECHANICAL.INSPECTOR RECORD <br />OWNEi BUIDTN DELCATATION <br />I ho*y .lr'n lnds Fdty of Fjury rhr I e adr$ 8od dr Co,indd t*.4 le for tt bllo$i.S r.or (Sd.1O!1.5 <br />&!ir6 d fto&r.b. cod.l: A!, City c Cdny *tth Gqunq . FBi ro co.rud. .nq. iryD\t .tdlib 6 ,.Fi &y <br />tatEtu!. Fbrto l' i&&q.ro Fqunq l[. ndi.lr brstFEnb tu r ri!.d ni6tE th.h.dLali.d Fl rd <br />ro rh. F.vnioE ol rh. corrr..rdi Lier!.d Lr* (ch!p.d 9. coffiilg wlt Scdo, 7000 of Divi.ior I of th. BBin6 6d <br />trc&sbs Cod.) r U.r lE drt ir a.qr rtatflo.!dilE t i! t'r llt rlls.d ddFbn <br />^Iy <br />vbhbo ofs.dbn ?ol L, b,ey <br />.pdid fo.. FEi obictdE plirn lo t.ir pdr,ofEl iftrh tit. Lo.tld.lo[n (5@) <br />_1. s o\tG of rb. FEFry. or Ey dplots wirh w{6 o th.n nE .mpdeioi. Ei[ 6 UE *qt dd {E sodllr i Dt <br />i ad.d dolir.d 6..Llse7oaa. BuiE&d Pro&.n6 c.rb TlEco'I[dd! Li.c t sdo-dfflytono*Eof <br />rlE FlFry lt. bn(} d iqDq llEroo. rd Ib &q rd ait Iirclf q lErdf d iloqh ti. a ha os cab q <br />Fn,ii.d dln st i'lFlrgdhrd ird.Lddolkld 6..L lt br.q, dE b.iliq ( hsrnaE! inE*$irtr)E <br />ofcor4ldio[ $G O*!B Auillb wil he rlE b!d6 ofFtina rE lE oi !b. <tid bl hild d tqtfl! 6. FoFry tor itE Frpo* of <br />-1. <br />6 olE ot$. FlFry. d d.taiwly o n ti'g rnh [cd.d @fi&r6ro 6d^<r lh. Foj.{ (Se. 7044. Blir <br />md ftDfr$ co&: Th. Contndo Lica3. l.w do6 nor !!olr ro u om6 .f pmpqly who build! or idpDlB lh66n <br />.rd [lE ocB 6r Bh FF! vith. Co!.,-i<r li6.d Ffa! lo tlE Codr.rd'r l.i.G t e). <br />-l <br />e .rdF ur& Scrb <br />l).r. (hn.r <br />NORr(]llti COltPt\Sitl(l\!lr!!!ruor <br />I hdcb!a0irrrtrnd6l]( llyorl)s,!noruolrl'.follotrtr,t'l.tlralk,n\ <br />-I <br />b€ nd rillr.irir. ccrirtrc of Coffi !o Sdf-l!t! ,c Ettr'c.dr.-i,o. . lsvilC b. byscli.lr@ of t <br />Lbor c.d.. ft. tb. F6.c. of tlE wt 6. wtit llE FDi a brd <br />od will rulnt.in wo*61 c.sFc.lion iNffi.. s r.quiEti !.v Seliot 1700 of th.l.b.r Cod.. fot tlE Flnlrrec ol <br />Fnn ir i!.d My 6ta'iBlltsc (!fu .d pol.y tuobd rq <br />/'?( <br />-l <br />cErily rhtt in th. Ftotu.. of rh. wort br *tlan rhn Fin n bo.d. t tlull nol @pby uy F$n in ey 6m6 <br />$ dlo bale hbjd to ric *qLa'ooFrdb. Lq of c.lilbmi., Ed {E thn irl rlbuld t<od sqd lodE <br />En6 @re6diD Fo6iod of S.db! 17q) otuh. trtq Codc. l tulL ftrih$in @'4ly wilh lhoi Fotititd , <br />.ivil f[B up ro oB iu,tu rhouled <lolltr (ll00.0oo)l ot @6FdbG d,r.td a tnviLd for ll'. <br />Sd5. !076of rL t b.tr code idd !d <br />^,,, ra/q/ao A <br />7 <br />DICllIADq! <br />I hdlty rrffr undd Fdy of ,ajur, rha I d lk.ned oi(b pi!6ion of Clr.tlE 9 (.offiinr wnh Sdb! ?000) of Divilbn ! <br />ol lh BuiE ed PDtaiod Co<!q .d 6y ltd t n tul 6d -!d c,Ec1 <br />b gb7o7l <br />-, tafT/ao ,**. et* Ei;\Gfl -rt,c <br />!:q!!IAQ!I&!I!!DNCIGE!CI <br />I tEt6, drh u,& F.t, of Fiurtnr lt.! b. @dtu rir. bdi| {r'.y 6r rlE F6rM of dt Et br 6i:t tt! Fni i <br />iD.d(Sc. !09r. Civ C.). <br />AISjCAILTECIJ8AIIOtr <br />Ihdrby.ftnud6p6 y of Fjury oE olthc followi.8 d.cLaiou: <br />DoElib! P6ri'ratb.rd tlo{irEtrbr F.d-rl R.aulabM Onk,O. Pai6) <br />-R.quftd <br />Ltrlg otnodf.abi <br />.diry thn dE ftds.l ESlbi,E tlSldile !t n6 tEmnl @ mr roplt.bL ro fiir FDirr <br />infontl.i, a .6tr. I rgG ro ompt $nh .I Cn, .d Co'rd, <br />hcr.bt .urhorr. rqr edr.ll!6 ol rh's <br />.!ow n6rbn d 0roD6ty lor <br />APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <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 tl - ,t -^FINAL 1170 u <br />I <br />lr.rl'r,iifirl <br />F1;19eu <br />'T;/ril'- <br />Furnace <br />Noles, Remarks, Etc. <br />I <br />I