MECHANICAL.INSPECTOH RECORD
<br />APPHOVALS DATE o\lNER AUlI.Dl:ll Ll:1,( AnATl(rN
<br />I hrrclrr rlfinn u.du pcnairy (n Frluiy lhal I oD crctnpi kom rh. (innrr(tm l-f,cn{ l]s l,n rhc nnk$nt tcnY{ rscc 7o.ll 5
<br />Ilu\ rr$ ,rr Prori*i({ C(rld: Anr_C y or c(rnry s hrh Rrtrnc\ i lr n h.onnn'.r. rlr.r, tr F'rc. ctrrnNhor rF'nrtry
<br />n,!(trr. nir t) 1 i'\uuf,.. 'lw' rcqur.r rhc !rP,t rlrn.uehlrm k'l-rL!Umrl{ cnrir rh! lE!r \h. i\ lt.n{J jrur$lnr
<br />n, rh( F.rnxnr ol rh. C.trrh.ktri l-icctr{d l$ r(-haptrr 9. (innnt'ttrrt rrh S!.rkr Tlrxrol I)r^x,. ] 'l rlf, llu{N* a.d
<br />l'nrr.$r'n\(i d or lhnr Eor rhc n.rcr{, rh.t.lhmlklIhctvn\ n, rllilL[tJ.rfl{i[n Art\rlh['.ofS hn7rr:ll th,ai,
<br />lnlh.rtrrtur r,nnn {hrcrrlth..pnliclnrt,r.i\rlp.nrlt}nlfrnmmrh4fitrhurkr Ltoll \r!!x)r
<br />-1.
<br />3 mltr oltlE FlFrn a n, GqbFr dh *.!E! u rlEi 3t otfotiain $[ & rh 5l .n dt irEnt i .d
<br />hqit d d olEld tu .t (Sc..nX/L Bri6 d., Pionlir Ooa.: TIE Cdtdr'r Li(e tt d! dl Td, !o o ffi ol
<br />lll FEFry rlb hilt d rryoE dEd! od xlD d€ idr Et iirErd lEclad inw|'l bL q nd o.n dll,F.,
<br />Frviiloa tt.l qr.! iuFlcEr. G d lrd aoabla ft..h- l( b@. dt hilt d bqreta h.U rrlic F
<br />oadrpldd! d! OrE hdE da hE lE h!n@ oa Fdit dr ln d lE dl lEl ld! q i+n lh Fqcq 6. rlE FF. o,
<br />-L
<br />! ffi of G. FtFrr. D.rt iElr.ocat arn [.qEd .od.-tdt ro .o.n!El tb Foj.d (Sc. 7044 l6bd
<br />.d Fot ir Co&: Tl* Coir-tor'! LiqB t r !t6 D. +?t, to d *6 olFlFry rb lofldr d h!.oq 64aG
<br />.d rto om..r! ior ut FFtt rt6. Cdrra(r lhlri.d Fnd to llEc.ddd r Lj.@ lrl
<br />_l d.Enrpl u*. Sdba- B. & P c lr rhit '!&n.
<br />lr.l. OrFr llaxlilSsraufE]lllxx!
<br />D};g.8&rrror
<br />Ih.rrht rrltrtr,uhl., F rlr! !f p.rtury oft .l r lr n'lIiUn! ']& lJrri)n\
<br />-l
<br />h.r !.d *ill Banhin r C.niftlr. or Consnl ro S.lt lnsur td ktrks omFnd i4 .r |r)vrlci fnr hy sd'x'n 37{D of rlE
<br />lltr{ Caic. lor tlE nslftnEfr ol rrr $.d nn *h.h
<br />'lr Flm k ishl
<br />!(h!v. rnJ !'ll mrnt.h ".rk.F mnscnlrrhn 'huhNc.8 rcquir{.ly S..lir:l?(x) of rlt bh.t (ita.. nr rlE Frf()m(t ol
<br />llt La sork.^'.onBtr! (r' trtrxrn .Lorl
<br />6dz /o, t I - LoQn
<br />I.. 'ryrhrr 'n rhr Frnr tr .r llhc worl ktr sh'.hrh^ plnn A
<br />^nrc(|.
<br />l\lu]ltror. ,doynnylx^o nn.f trrtrncr
<br />\) r\n)t{.unf, {rb].crr,rh rorl.^ .o rFtr\dloi 1,f,(or(-rlinntrii. rn(li'!(. rhrr 'r In!(LI lra,,nr.uhn'(rn)rlr
<br />nnrkd\ oo|[trlns !trn (un\ ol SLalii'n :l r(x) of rh. llhtr (,xle.l\rr,1l. n'n[sihu rd!* hth,y trr'^Ftrr\
<br />\11k\l\(; l.trl,r. i, \\n,.{t,1.). t,rtrtr\.rLi,in!.'Lt i nr,ll !,r,r.. r , ' L,trt,rL,\., rL, .'nnn,,L Jrr! rr: l
<br />cMl firct up ro oE h!n,.d trEuqd .lolL^ (Sl00.{)(lo). in ddn eon ol.!n!lln!!rrtr,. ttr u!.r r\ Pn,vkhd nn llE
<br />I br.trn u'na F@ryof Fi!, d.l n teld u& Fwibn of OrFa I (ffiq rtt S..ran rlml olDivLir 3
<br />ot dE aldB .i PEb6 Cod.. d d, lilE i h tul lbtE .i dt r.
<br />71'1 r54
<br />| 6r.ftodaFrlroaFts ln. liar b. odEb. tldha {*r lt d! F6.@ oto! rqt b. tH tli. FEI I
<br />L-.d (s... 109r. Civ. c.).
<br />APPLICANT DECLAI{AT(IN
<br />I lEr.t y lnnr ua,l.r p.nahy olFrruryorc.frhc ('lt,f,ing JNlrlrlrx,ii
<br />lxtrr)lIion l,c.nns.Aih.{o\ Noiilf,ari'n Fd].ral R.SrhrnrF rlirlt &). l!x6r
<br />,,_R.quikal ld.r nr tlt(ir$tirn
<br />I (.rril! rhrt rlf, lid.rrl r.lulnr n\h!.\r.nxtrrlrd mr rttltrrhlL r! rh^ I't'tr(r
<br />Ll..diryrh'r I tuw rcld rhh rhxrrlr,,lrrr tr|r.' kn,^(on.r! lxrrNr).Dnrlvtrihrllt ilrkl(rntr t
<br />,{,,,.,rr, nn \r Il N!\i,[ ar] h.khy.urlrtri/. nn({trt 'ic\ n, rh\( it!_ dx,(irnlyn' $rrrB,nrh(
<br />rl-(,u.,1--
<br />/- /6 z*o
<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 />Rouqh Ductwork
<br />Venls
<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 />lnstallalion
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rouqh Mech.
<br />Final Test
<br />Meter Releasg tFINAL 2 /lY/ ap)-e/{a / oq
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />\A r'..n vf. rr rhc lahr (irlc. mrcrc{ rld rn.,m) .Ir-, \,
<br />,,.,.: /' /1'zq;*"-,, )C---\\-
<br />,,.t,.stuiu"uu^,.,,Iprcr rf,r narY_ /
<br />L..*tu atd,Zc ?L.qz1t,
<br />\t(-.-.-
<br />-"a<
<br />I rD/src.
|