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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evap 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 />I \U? <br />Rough Mech.,r7)otv I <br />Final Test t(Lrn <br />Meter Release sfl <br />FINAL {-'<l*O,)dt'^' <br />Owns-Buil{t( D..l@tis <br />I tE.ty cflim 6d.. pcr.lty of Fjury lhal I m .xdF fm lh. Cqrers' Li@. Liw ad lhc followirg r€M G@ ,031 .5 Bsine <br />dd Pof$i6 Cod.): Any Cny d Counly shict rcqliG ! Fmir !o cmrucl. .lro. improv., &mlish o. rcpair &y if!cr@, p(ior to iE <br />is@@,.1$ Equn6 thc appli@r fd s&h Fdn to fiI.. !iF.d iardar dl.l hc d 3h. k lim.d pd@r to rh. ptuviri@ of lnc <br />C6r&!ofr Lic$cd L.w (Ch.Fr 9. Comaci.r witlt Ssd6 ?000 of Diviri@ ! of th. 8Bin6 ad Prcfdions Codc) or rh hcor <br />shc i!.xn$ thcfm ed O. bak fd $c dl.E.d cx6pti6.An, violari@ of S..tie 70ll 5 by my.ppli@t lc ! Fmn subj6l! thc <br />alpliBr ro ..ivil Fr.lt, of tu tu&lhe fiv. nudr.d rlolla (1500) <br />_1,6 wnc ol fi. proFny, q my 6ploy6 *i6 waa6 s thcir $1. cmFnsari@, will do lt. vdt &d tt. sl,uclu. is nol inbdcd <br />or ofi.Bd fd sal. ( S.c.?Oaa, Bqina arl Pof6sioro Codq Tll! ConlE iol! Licd. kw do.s not lpply to & o{n6 of tna popcny <br />who buitls tr ihFovB th66n. ed who .16 slch wdt him.lf or h6dl a $rou8h his c hd ovn .mployc6, Fovid.d lhar such <br />impbvm."a e nor inhdcd or of'n.d for sd. li how*d, ln. blildinS or ihprcvmcnr is sold vilhin or. y.u ol @mplcrion. th. <br />Ovnn'Builda*illh.6.burd.nolprovinS6arh.o,rhcnorblildoimp.ov.fo.th.purpc.oas.l.) <br />_1, a oM6 of thc pop.n , e.rd6ivcl,6r&dns aiu licd.d @nra'o6 ro @sruql rh. pojct ( s6. ?oaa, Bcin6 ed <br />Prcfsi@ C6d.: Tn. C@r&rnt Li.@. L.w dc tror !ppl, to o orG of p.opcrty Bho buil& c inFv6 tn.llm . dd Bto <br />cmr&Ll rtr luch Fojdrs witl i co.tr&ro{, li.s.d p66. ro thc coturd'r Licd$ Lav ) <br />_l m.rdpt undcr Sdion _,8 & P C. for rhk E6on <br />WORKERS COMPENS TION DECL NATION <br />I hftby dllim 6rii, pcnal9 of pdj.ry 6. of $c follain8 &.la8titu <br />I nat. ed will minlajn a C.flj,ic.r. ofco.ror to SdllGUrc a{ wdi6' @mFro.rim, a Fovi.Ld fs by selio 1700 of th. <br />LrbffCod., fnth. p.rfollu4 of th€ w t a* whi.h d'. Fnil is isucd. <br />cdFisado iBuMc, a r.quircd by sc.lio l70o ollhc L.bq Cod.. fq tnc Frfolr@e of $c <br />ii3ufu.. 6id ad pola.y nMb.. 4l <br />02_ <br />(This <br />I <br />r00l <br />of rh. wdt ad shich Ois ldnit i! io.4 I !h.ll no. nploy sy p66 i. ey lllen $ a ro <br />' c@F aioi la*r olc.lifmi., &d <br />.6ply wilh th@ pm!ti@.. <br />WARNING F.iluc to lcE worl6 cfip.nsdion covE e. i! unl.*ful, d shall rubj.cl e fiployd lo Biminal F slli.s &d civil <br />fin6 upro m. hundr.d lhMdd doll&! (l100,0o0),i. lddid@ ro rh.6r of@hp. ad@. d.h!96 a polid.d ld thc S*tion 30?6 of <br />thc t4bor Cod.. i.r6t Dd .lro6.y! f.6 <br />LICENSED CONTRACTORS DICLARATION <br />I o lic6!.d u&. D.ovi3id of C1l.p(d I (@mhmcin3 witn scdie <br />L <br />I h4by .fiin ud.r p.idty of paiuy dta thd ir t <br />isu.d (S.c. 309?. Civ. C ) <br />lddirS .8.n., td lh. p.rf@oc. oa th. *o.t ad whi.t $k p.mir it <br /> IIUCIIqESEE&AS fISI <br />D.molilion P.miE-Arbdla Nolific.rion F.d.rsl R.Bulaiec Onh 40, Pfi 6) <br />_ RcquiEd L.nd of Notificlrid <br />_l ccnif, thar lh. fcd.6l E!ul.d@ csr.dins atdd ltmr.l o. io{ .gplicrblc !o thii Foj4t <br />I @nify dlal I havc &d dh lpplidio ud <br />ordinscG md Sllt Laws Elaing ;oshction, d hd.by !u6oriz. rcpr66rariv6 of Cily &d <br />L <br />I )/ <br />'\ry"x- <br />L <br />I <br />Above T-Bar <br />t*t4 <br />'-V-7 <br />2 <br />knd.r! Adde!' _ <br />-------T------ <br />I