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MECHANICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
<br />I na.ly .lrm !id6 Frly olFjsy lh. I D qq 6on lb. C@lftrs Lilu l,v for llE followirB t6.! (SG.?011.,
<br />a6i!o .rd Ptoloioi CodG): Any Cny d Coudy shtt t!q!n6 . FDi to 6taru.1 .lta, iitrlrt, &mlis,t or qlir -,
<br />arlduq Fq b ir i'lr.. .Lo E+iB 0r +pli,r &{ at FEn b 6L . .ig!.d nr@.d dtd lt or tlE i licdu.d FEr.d
<br />ro rhc FovirbB ot rh. Conrr.croi. Liq&d lre (CtuFo 9. Co@qiry wnh S<rio. ?0m of Divbi,! ! of t B6i6 &d
<br />PrDft-bE C6d.) r lt lt trilE i a.q( rlEdturd0Eh-i. tu drdLs.d aoqrioo A!, tiolnihofselbn 70ll.t ly&y
<br />.Fli..ar tor . FdI sbj6l! tlr .prlicdr to . civil p.uhy olmr @E $& fiv. t ot.d .lo[r'i ($m).
<br />_L s olr@ of rlE FoFry, or hy sDplor!.i wirh w.86 E rh.n lok ohpdriol! *iI & dE $rrt rd 0E inttc ir Er
<br />iddd.d or otu tu .L (s6.70a4. B6iB -d PtDkir codc Tt Conr.dr'r Li(!E ls &6 lor +dy 10 d oxB of
<br />tlEFoFt, sho tuil& d i!q!6 llEEI. .d *h. do- rd slrl lielro. t.llror rl[nud, hi. n lE om.r4br6,
<br />Foyircd 6. r.n iDFuEd! E rd irs.t d aoE .l ftr -t lt holtq. lt hillnt d iryor@. i bU wtlb @ ]d
<br />of erpkbr rh.()*tu S{iltn wi[ lrE th. hldar of Fvilt 'r |rq a. dn or hdd q nqroE tlE FoF, 6. dt FF..of
<br />-L
<br />- ow ottlE FrFry. d d.lrBi*ly .onr.ritg *nh I.d.d co!rr*l6 ro @nrt(td rhc Fojcl lse. 7044, Aui6
<br />od hltshco&: lt. Conrnd .r Lke r,w.rro d @lrro - ow of FoFr' lho triuln iEoroc$a@(
<br />rd *,lb strrd! for Mt Fojdr. vnh . Co'rr.do(.) ltd.d puufl ro tb. Co rcrd ! Lta* t w).
<br />-l
<br />e .tdDr u!& Stlion-. A. & P C. for ft6 ,e$n.
<br />D.r.r Oin.rl
<br />.lllal8E$alrudlalratrrlcl4SArra!
<br />I ta.b, .nm ulda pdt, o(Fjcr c of&. bnowha acliiE:
<br />-l
<br />LE nd will in h . cari6d. of co6i ro sdf-l@. ft. Efd qlpa!.lio( ! Fovit d tu !, SErion lr00 oftlr
<br />Llborfod:. brdEFbrllt.of E 6t fo, *nin rh FEt i h'.d
<br />titre ana *ilt tlEru wrd Gl4ori- @sc!. - rlqrild tr S<tiod !?00 ott!. Lfrr C.d..fo. tbFe.r.of
<br />&. 6t 6. etti tli Fld i i!.d My*dto a4a.dio. itB'lluc diE -d Flkr rMb6 c
<br />EaE726r J)4/
<br />-l
<br />cqiry rlllr i! th. Fto,nMC ottlt *o.l ro. sl .h rh! FDI a B'!.d. I .b,l mr dpk'y m, pdsn 6 &y ''l!G- - to brod etaF lo th. rqld @npd.in LB of C.lifhi.. ..d rsr6 Or itl rlbold bcnc $tiel lo lL
<br />w*d dhF!.rbn Fovbbc ofsdion l?00 ofrhc Lll.r co&. l tull. tu.rh*t,r ondy enh rhE FDviric. ,t
<br />WAnNINC: F.i,@ lo BE mrl6l sf,FE rion covqlg. i! unhwtul, dd dl $U*l & nploF lo ainird Frrilrod
<br />cnil fc up r. oE hi*H thouEd &rll,r (t100.000). i! .ddtion lo rlt or of ohFlrior. &Dre6 ! FD\iLd tor llE
<br />3
<br />tJcElttDcoNrlAcrnarEtaSauq(
<br />I hcb, dTnm uitdd pa.ty of Fr6, $. t d U€.d u& Folii<'! of OlFc t (@dEiB *rn s.di, nID of oivilbi !
<br />of lt A{i6 &d ,iotdd Cod.. d 6, &a it it 6tU &.a rn.ft.t
<br />/o
<br />ca$uSLrclou.l8!,IlElcllcl
<br />I lErt,rlE6rdald.r,ofF}dyrhr Udli.ooi.lalb ladiB.ecy 6r lh. Frotu. ol0'. e trttlthdEFnni
<br />is.d (Sq. 1097. Ci!. C.).
<br />AIIIICAULDECTJAAIIO!
<br />I hrt, .ftr !"d6 FrI, of FiEy @ of llE t'llowht &.I-rba
<br />Dqmlnb, P@il'-Arh6rN Norificnion F.ddrl R.Aulnionr (Ti|.40. Prn6)
<br />-R.quircd
<br />1116 of lldi6.rIrr
<br />-J
<br />c.rit ltr $. tdarl Eglhtio!, E .di!a dao. Etonl & 6r ?Plk* ro rti Flicl
<br />-t
<br />cstitOr Ihw!l. d thi.rdinir !d,.. tr lb 6E idlr n iGrBi t {Eio@41,'tn dlciyailCoory
<br />ddbrE n l $rG t,M Gtig ro toililiB @d!dbI. d ha!b, rrlsir rq..dni6 of Oi. Ci, od Co]my b qnq uFn tlr.
<br />'boE
<br />rffibr.d FlFl, fti iqq:PE q
<br />lhridrlodsitur I \---'"'\;*,*;W'*@1
<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 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 />Rou gh Mech.
<br />Final Test
<br />Meter Release
<br />FINAL Z-ztayh
<br />I
<br />",*,n*n Rvtl *4 l?-Dd
<br />a?
<br />Y,JY{4l1
<br />Notes, Remarks, Etc.
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