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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNER BUTLDER DEL(ARATION
<br />I hftb, alfm uidd pGalry ol pdjury lh6l I 6 .rnpr fion rh. Co racro6 Lrcce La{ for th. followiig r@n (Se.?l)l I,
<br />a$in6s ud ltol63io. cod.): A!, ciry or cou y which rcquii6 . ldrnir ro con rtucr. allr. impDv., ddolish or rcpsn by
<br />situ lE Fior ro irs i.tmce. .ho r.qui6 itc rtplicer for $.h Fnnil lo frL r sign.d sr.tmmr lhar h. or sn b licdcd puMa
<br />lo rhc provhioa olrhc Conteffis LiccMd La\r lchafld s. Cohnencing wth Sction 7000 oaDivisio.I .fth. Busine md
<br />Prof.sions Cod.) or $al k or shc i! .tmpl rh(.ftom r.d rn bais aor lhc all.Ecd crdplion. Ary viol ion of Sdion 701 I 5 by a.y
<br />arplta for a psmn $rbj6lslh. opplis. loacivilpc.ollyolnolmorclhefivchuidrcddoum($500).
<br />L s owns oflt FoFny. m hy .6plo!6 silh waBB s th+ $1. compostion. qil do lh. vorh ad thc atru(l@ is ml
<br />ifio'dcd or otrdld for eL (Sc.7044. BaiN 6d Prof*iotu Cod.: Th. Cotnndot 3 LkcN tlw do6 nor lpply lo s omq of
<br />th.rFpoly who tuil{h or i,{mB lh6n. dd *no do6 &ch m* him5.lf or h.u.laor lnmuSh th or td oNr dployc.
<br />provid.drhll such inpmra,oft@rcr i G*t doroffa.d,or$L.l( horvM. rh. hilditE or ihplDwn6n L $ld wirhi! onc r@
<br />olconpldao'r rh. CrMd Buildg will h,v. th€ budd olprovins lhat lE or slE dil ml build or intovG 0E pspot, tur $. Fipos of
<br />L s omd ofrh. prcpdy, @ erclBiv.ly cof,lrading rvirh lico5.d .ontreron lo connru.r llE pmj..l (S(. 7044. ABin*
<br />dd PtDf*ion Cod.: Th. Contracrols Licd. Lav doB rot .pply ro o oMd of p.op.ny Nho build! o, inproB rha.oi.
<br />and $to .onn c13 fd !!ch Foj.fls *th r corn6do(, lic.tu d nu6u.!I ro rh. Corh(ol! Lic@F lt*).
<br />_l m .rcmpr ud6 S6tion_
<br />D.l.: o*n6:
<br />A & P (. turhir (.son
<br />lloaf,rulcoMrsxtArq!
<br />DECITIBAIIq!
<br />I hdcb, ailim undd pda(, olpajury on onhc follo$'iie d{ldatioN:
<br />l [.\cand\il] ninrainnCollncdcof(o sc.r to Sclllnstrrc fo, sorkds .onrpdrslion..s providcd forbySclion lT00 ofrh€
<br />lnhr Codc- fi{ll'c p(n rmance oflhe \orl lor $ni.h lh. pqnn is issued
<br />I har .nd will maintain sorkd' onFNtion iBuranc., e r.An.n hy Sdion 1700 oflhe Linor Codc. tor lh. psfomd.c of
<br />Ihc Lvork for vfiich lhis p.mit is Lrsn.n. My lvorkm o'np.Nliofl insurncc canis dd
<br />1+,*, 'Ell' la.(r $,'"<
<br />,",,,,",-* ' FlA",o .*t/rl Go I
<br />+- Cq.sa d\
<br />'/-za zda t:'_
<br />--l ccnilyrhat in rh. Dsfonnan.. olrll. sort lor $hi.h rhis pmi is issled. I shall.or.nploy any p.6on in rnymann6
<br />$ 6 lo b(o'n subj.d lo lh. so*6 conpdslion la*. of Crlifomir. ed leR lhal il I shotrld b<.om subjel
<br />'o
<br />lh.
<br />work6' comp€Nlion ptolisiotr ofsd ion 1700 of lh. khor Code I shall, foatuhh coDply wnh thos pmvi.lioB .
<br />wARNlNc: Failw lo su. *0116' onpoerion cor@cc is mlr$lul. d lhall $bjBl @plols lo qinhrl psDli.s dd
<br />.i!il fin€i np lo on. hundrcd lhousdd dolla^ ($ll)0.000). in {ddirnr b rh. .osr conp.6.lion. dma8.s a prolid.d lor lhe
<br />Scrion 1076 ofrhc kho, Cod.. inr6.s od atloray s fd.
<br />,r,,"!ha )t *
<br />-tlcEltEulatrl&l(lpa
<br />DE(]A&IIIO!
<br />I firchy aUirm undq pqilq olp.rjury rhar I tu! licmEd xnds pnn Lin n ofch,prr 9 (co6rm.ing $nh Sdtirn 7000) ltlDirisior l
<br />of rhc Businss0.d Proa6sions Cod€. md myliccns. is ir hrll frcc and cfid.
<br />c- 20 94 o?do
<br />( oNst RLr( I()N Ll-NDIN(; ,\C!:N( \',
<br />issucn(s( o,)7, Cn ( )
<br />I end6's Narne
<br />A-[&!(ANLOE!IASAT!9!
<br />I lE l'J,alinn undo lriihl oi F6jury on. of nr aolh$ inr ddlararhns:
<br />rr.molilion Permils- sb$ros N.,ri6cntion rdsal Rc3ul.rions (l nlcd(). tan6)
<br />Requircd L.ud.f Noriu..tion
<br />I .dili rhar rhe acddal rcsularioB rcstudine 6lBk* r.molal a. nor amli(.bl€ io lhis projd
<br />M.tt<-iO rr,a r r**,*A rr'is {pli.,rion md sar. rhar rhc dbo\. inliDn.rnnr s.ond I .!re ro coaur! wnh .ll (,1! and (in'nly
<br />ordinance dd Starc Ij\B Ehlins lo buildin8 .onirucrion. xd
<br />abolc Dmtioncd rropeny for insp.ctieo purpos6.
<br />aufi.ri7i r.al($ral ir6 of ihis Cn, dd County lo olE uFn th.
<br /> prlica or A!.nl Si8nalure
<br />e*l*.*1p'a;,O( Arr*nOteL C/q)-
<br />.l- /2-l r
<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 Ran ge
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Dam per
<br />Openings
<br />lnstallalion
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech.
<br />Final Test
<br />Meter Release
<br />FINAL l-L7-a DQtnht
<br />tD/stG.
<br />Notes, Remarks, Etc.
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