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MECHANICAL-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS O\TNfI BUII-DER DEL('ATA NON
<br />I hs.hy dftrm !nd6 Fnill) .f pdjury ild I m .rmpl fron th. (tntr.c1oB t.ictu. Lss for th. folloqins rasn ISc 7011 t
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<br />'h.
<br />rtpli.M' for iuch tEhn r. fi!. i nseri nnool rltd h. or !h. ! n.da.{ p6u.,n
<br />ro rhc ForsoG of rh. (-o tud . !-ko(d li{ (oufl( 9. (lhntrins r itt Sclhn 70m of D\ iJi.r :r ol th. BsiEs dd
<br />Pr.l*irnr (ild.) or rhlr lE d .n. a .r6F rhs.6om 6d rh. tBs artr rh. .lkBal .rdqrioi Any \6hionof s.drr 70:lMr.ny
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<br />'o
<br />r.irilti.ohvotmt
<br />'mE rhu fir. fiund.d doUr (lt{xr,
<br />l,6 o*Moflt p$pct.66y.,rplor6vnh*{6!tl'.irbL@mp@riotrsil.b0EKtad{Et,rtGbd
<br />i'iad.d n oflrlrl ft..1(Sc 7oaa, &riE i<l arokir C.dc Th. Co'cr.rai Lile lr* <b- ior tply ro, o*c of
<br />rh. Flpdry s.lb hilll or inFvt. dEe n w,'o &6si slt hiellor i.*lf or rlr.o$ ik 6 h6 om a!ploy6.
<br />FDi.Ld lhd ut ry+6v(,rtd c 6. irad.d doftld ftrit.lt lE*aq. rlE h,ifLr 6 i[tsqEr i.DleilEc r-ofstpLia tlE otrE E!!a $O lrw dr hrtb ofFwit tL lE d tE dn d hdld d ilv@E ,E Flpcry &r dr FrrG of
<br />rnll ltlltNr(.J. Ih.(onr'i.r.rsl'.cn\clNJ,$rri.!,rn\r,,.nr,r\rd,,lr'.t\1r1\h!,htrrl(l\!{trf'\srl'qcm
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<br />I d.r6F udq sd
<br />-- I nn..n *i[ oir.ir. Ctniftr. olcoEr ro Sdf,ltu tr 6td d!pdi.i& ri FviLd tu b, Sdn !700 o(lh.t bo! Code frr t Ffllrll.a o, r *dt tu *t'(h dE Fnir ir Bu.d.
<br />4 h.€ !n ".itl od.o E rd srrFsM iEl!t.. ! ,qoild b, sciih !7oo oirtE lJor cod.. tu dE Fft.ltIE of
<br />th. rc* fo. *rrth lth Ftn b isi.d My mrl6 omFlaion inliJft. @! !d Dolty mEbq e
<br />"^.,kiu nr<uc4-nt
<br />'"wr*w,fu44(b1??ns (r ,,
<br />civil fnB up ro .rc nunttld tlFu{.d dolb6 (lt
<br />\(\r ,{j 1r a,,n th. I rlrr (
<br />)
<br />Lrrnsr'! coilri cmt
<br />D!CI.dEAIIO!
<br />I hqrnt .ffE !r& pa.l, of Fi6y th. I o M oxb Flvibi oac|itda 9 (6,Exi'r si[ Scrir 70d,] of DirLiE ,
<br />of $c AoiB -d P!.ft!i<,r codc rd ry li..d. i. b tull folr -d.tt t.
<br />rtr.nr..r( L -
<br />'o' ttlo /,e' -t ' t,
<br />,t^n, /o74?6/
<br />aVurz<"r:oF 1.?
<br />l-rrd s ,AJ&6
<br />APPLtCAnl of,( t
<br />^rtATtoltI hd.tn .trnn uald ndr[ t olFJuD oE of rhc folhtr rs d.rL.] {r3
<br />D.m'l'iion Pm r.Ash.shr Nofifi.dhn F.nailR<xuhn.n (rnk {0. Pin6)
<br />Rqunrd InrsorNd'frr$n
<br />I .diry lhl rt &d6.1 ,.s!lria Esrdi4 .rt-r6 lumr:l e mr tpla.hL ro rhi Foi.ir
<br />Ilntt Edlta 4plir'ion !n nrr.Or rh.!t r infornnh. it cm(l. I {E lo orlply gnh .[ Cny ]n Coudt
<br />ar( I Nr,.htn! (, tulJtrlt .rn{nd k!,..dlDrt. EF.sri!6 of lhi. Cnt
<br />t(_< ?-':;'b 3
<br />;;,/o**
<br />tances
<br />Metal Fire Place
<br />Eva orative Cooler
<br />Furnace
<br />Compressor
<br />Mi sc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rou gh 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 />lnslallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech.
<br />Final Test ,
<br />Meter Release ka.I
<br />FINAL //6/il ,14W,t
<br />Notes, Remarks, Etc
<br />I
<br />ID/SIG.
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