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APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />It/etal Fire Place <br />Evaporative Cooler -/? <br />Furnace '.1 <br />^/^z,o ' O ,/r1 <br />Compressor l \- lt u,z:41gq blz> / <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rouqh Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Ranqe <br />Other <br />Hood <br />Type I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openinos <br />lnstallation <br />F.D. Drop Tesl <br />Above Hard Lid <br />Rough Mech. <br />Meter Release -'''21 a) <br />FINAL E-tv.l /,14,dcr6Y2 <br />Notes, Remarks, Etc <br />OWNER BUII,DEI DELC{RANON <br />I h.reby aflirn und.r pef,llty of pdjury lhol I m cx.mrr iiom llE Conlrc.lou Laine lj* lor rhc tolhwirg tasn (Scc.7o.ll,t <br />Bulincs a'd Eofcssion Codc): Any Caly or Coury which tqliE. ! Fmir lo onrrud. !xq, ir4rcw. d.mlish or EIatr m) <br />srd.ruc. Fior ro irs i\$ft.. rl$ Equim rhc rpplta for such pcmi b filc a signed srarcftnr ltar hc or sh. k liccmed Dnrufl r <br />ro the povhk'nr of llt C. turoas Lien{d Lrq (Chrpter 9, Comn.Ning eith Sccliotr ?mO of Divhion 3 of lte Blsinc$ lnd <br />Pofesio.. Cod.) or rhlr h. or slE is .rcnq lh.Efrom Md lh. basn fo h. lll€Ecd crdnllrion. Any violalio.olSerionT0ll.5 by ey <br />amlicanl for a Fmir strt .cls lh. rpplicanl to ! civil !.nally of nol mrc lI1!n fivc hun lr.d dollos (t5ml. <br />-1. <br />Ei oqner of thc FsrEny, o! my enDloyc.s wirh wdlcs &r rhcir sh omp.ns.lion. will do ttf, wk ud tlr srfl@ is hl <br />inrcnd or off.ed lor ek 1Se.7044. Busines* sd Profcssions Codc Th. C.nlrslols Li.cn{ Lrw d@r mr att,ly ro an owm. of <br />rlrc nrcpcny who blilt\ o, in'rmws Ucetr {rd wh. dos sEh mlt himllf or h.rclf or rt@ugt [is or hd o*r.nployccs. <br />[.virkd rhar $.h impmwrnts e mr inrcnd.n or oficEd for sle. lf. hoscEr. tlE buiEi.g or nr+roEE.l is $lii wlnin om ]@r <br />oto,rpb|i6.. rh. o,m, Builds wj! hrre $c hlt .n ort)rcvinB 0ur tE o. !ll. dA d hiitl or inpow th. pmlEly tor tlr puqDt of <br />-1. <br />0s own.r ol rhc p$Fry. trfl crclusirly conrrucrins $ith liccnsd conr{k8 '. onsrBt rtr projcr (S.c 7044, SusBs <br />and Aofssim Codc: The Co.rocrolr Lic.n* Lrw d@q ld opply lo m owncr of,,rop.ny who hrilds or impmlcs rlEron. <br />and who co B.k ro. sx.h pojcds wirh r C4arncro(olt nsd pusun lorhcConrrrcror's Liccns llw). <br />tlaaKx&:t.coull;N$jlQNDllll XIIIIAN <br />I hcr.bynmro und.r p.ndly or pcrjury om oflhc iollowi,g d..laraltuns <br />I JtxnCod..,nrr[cpcrfonrum.of rhr*orkf(tr*hi.hrh.Ixr rir i\ i$tr.d <br />,!fbM.nd will mituin workcs co'ipcffarhn insuEmc. s tquircd by <br />rhc wnrk ntr"htrh rh*Icrmr ir irlEd. M,wo cF @mpcnsalon ii\ulmc <br />,*-, Fut=.Za1g <br />Sccrion l70O 6l rhc lrb.r Codc. ror rhc pdforn1:re of <br />cari:r and Flicy nlnb.i el <br />o 4 <br />-l <br />ccnify thnr in thc pcrfornumc ol rhc sdrk ln which rhh Fnnir is isrucd.l sholl nol cq)loy ony pemn in !., tunno <br />e !sro h.onE rubjd to rhc rorken .on{Enslion ltrws ofcllilbmi& $d.8r $!r ifl shouu b@tr subjcd lo ilE <br />*orkcF' cotrltnerion povi3ioos ol S{li.n l70o of rh. I$or Codc. I shall. fonhvilh coq,l, eith rhoc ,,mvisions. <br />WARNINC: l2iluE lo surc portcB' compcnsal ion sveruEc is unlawtul. md qh3ll subitt a. emplortt to siniel pcM[its ud <br />civit fincs up to orc hundrcd lhousand dotl!6 ($100.0m). in lddnion to rhc .o{ .f com!.nrulion. dotu8* ar Fovidcd fo. rh. <br />ifllcrcFt lnd allormy s fes. <br />LICf,NSIILCOM&SIJB <br />DIICIJI{IIQN <br />I hctubyalfinnuid.rF-nalrtofpcrruryrh.r I nm lr.ctr*n und.r pn,vtintr oi Clqrrcr 0 l&'nnrnc i'r! sirhsc.ri 7uJ0)olDivisionl <br />ol Ihc Bu\inc\{nnd Pn,ra\\ion\ Codc. d myli.ci{ i\ in tullr(tr.. rd.l1o.r <br />cz'>s->-F <br />CONSIBI]CUONIENDIN(i.&GENII <br />I hctsby rflnn li.lci Fnalrrofpcrjury r[d lhca is 0.uirudnrn [Min8 ascrcy ttr rhc nt.aontu .c.trhc wolk ior qhich rhis F.mir is <br />i!sucd (S...l(Yr7, Civ. C ) <br />AIILIQTNLDESdSAIII)! <br />I tErcby r,tn, undcr |rnrhyol p.rjfiy onc olrht rolbaii8 dc.lardrions: <br />D.nFlirio. Pcrmiri-Asb.sos Norifi.arion FcdcrnlRcaulations ( lirlc 40. PanO <br />-Rcqutcd <br />t llcr of N.riaEalio! <br />-l <br />ccnify rhal thc ftdcnl rcsularionr Eseding Btxsros rcnoral e not ll)plicobh n, rhis prcjccl <br />l.cnirythrt I hrlc rc.dr[istrml <br />ordi.anccs lnd srurc L!*\ Elnring k <br />ll^rgxnr iomd rn'p.ay lo in\p..r <br />iclrion ud srorc thot rhc lhvc inforturion <br />building .ododio.. and hcEby .ulhorir <br />isc.mr I aem to conDlywilhlll Cilyod Colnry <br />rcprc(nkrnc\nfrhtr C t andCoulyrocnrcrulnn E// <br />,",., 5l * // K,+.' <br />II <br />MECHANICAL-INSPECTOR RECORD <br />Above T-Bar <br />Final Test <br />B. & P.C. rbrrhk rcason.