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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS Ol''ltET IUILDER DEI'AR TION <br />I tsttt.frm o& p@r, of Fruy $. Iodaql&@ E Cdrrtio Li..e ts 610t blb*iA .e! (Se,?0!lJ <br />BBird .n Ptuf.sion Cod.) A!, City or C@n, *lttt nDqlE r Fni lo 6ir t .ta. itT.ovq dqolitt q lEn !y <br />r.rtuq pbiro ir! iB!s!..bo r!(iliq rh.#id 6r,,.nPdilofl..I(gn d riaEr firb.o.t i li.d.d Fidd <br />b rh. Fnvtio6 of lh. coturrdl Lieu.d t e ((t d6 9. CoItlts4ila with s-rbr 7m of Divi.b! I of rt. B6ii. -a <br />Fref{bc Cod.) d lh.r h. d & i qarll rhddDE -d rL b..ir 6ot t .!.s.d qo,lior any violtrbi ofsdion ?01l 5 b Dy <br />rrplbd tu. rdDir ilrdn tlE rydidd ro.GiilF.fyofd 'tcth ltw LnH dollst (15@) <br />-1. <br />r olrG oltt Flpdrr. G o,6pb,6 wit *{- ! dEt $l @rpa!rb.. wil & t wi.d llt n'du! i br <br />irrdi.d or ofr6.d lG ol. ts€.?0a4. Bu.i6 6d rrofaios Co& TIE corm.dq! LigE l- &6 ro{ TPty k n otG or <br />dEFEFt, *lD bilt s igo6 dE6. -d wno (lE i.tr rdt hi@lf q ta*ltor 0nuan hir or ha oM a!9by!c1 <br />Fovnl.d tr eh hFo\aEc & d iad.d doErd 6. -t lt noM. d.biEit o iqo\qtE i rld *tln c )a <br />otdrplaio4 EO*BEitd-vil hErltba&!olFlvirylbr h.orJcdrd rcr t ild nirglElh.FDFty 6rlh.F,Flol <br />-1. <br />B M otlE FlFry, d a.ldrtly olrrah *ith Ucq..d @d-l6lo o'fft l llE F.ixl {Sa.70a4. &tiE <br />od FoEa. Co<lG: Tli. Conlr&lr'r Li.!c lry rb6 or qty lo - osd of Fotqtr elb brild. d iryrcB ttdon <br />rd *ho @mx! fa eh Fo,.d! whh. Coe*ro(r ltd.d pud{ld to rh. Co ncldtLadet w) <br />I un.\cnrli utrdr serr <br />irq8trE8E:coMIINSAUO! <br />lEc!'dSarla! <br />I l6.by rftm uldd po.ty of p6juy oc oath. 6llo$i,U d.(Ldiou <br />-l <br />h.Edd*ill id.i!. CqrifE.l.orco6r !o sdf-l ,ttu @tq. .6F,r.i'r - FviLd i[ tr sdin lr00 oltb <br />Lrtd coda hr $.D.fdo!F oft sd &r wtidt rlE DaDir ir n|!.d. <br />-I hrvc .!d *ill uinl.in wo*.. coEFdnion illsllm. d EquiEd bt S<iioo l?00 oiik t hot Cod., td tlE pcro.!ffi ol <br />Frn it iB.d My Pqta ompdrirn n!ll!t. 6i, .!d poliy nunbc e <br />ot4 C/n L/ /.>.C a-Z//zoL <br />-t <br />qrit$a ii dEFroll:tN of $.e for *tih tir FDi ir i$d- I 'ldl or.ryloy d, Fs irDy@ <br />! 3 lo h@tE $tixl b iE wtd'@Ep@tFtr Le! ofc.ii6di.. 6d {tE ttr if I rlbuld b..o@ &bj*r ro rh <br />Nrtcj oqd.ir. ptlrbirr of Sciiotr l7O0 of $. Lr[or Coda I tll fdh,nt oEly vi| llEr Fvin!6.. <br />TJCEMEDIONIIACI9AD4I TAITOE <br />I ffiy .IrrE @dd F.ty of FiEy li. t 6 li.d 6& Folih of Ct+6 9 (@offiirr wil s.ana ,(E,) ot Onii,r l <br />of rt &!iE d Prcftdos Co<L, -d Ey l!!d- b n tuu tn . d.t&d. <br />A loj l277 <br />a/f/la c.r'ddd x. 7Zta,,1 U-9<1 <br />(alElallc[o!.lJllrlclcllq <br />t H, .frro E & Frl, ot Fjury itr 6d! i t (oisiEri{ ItdlB {4y tu rtE Ffo.ffi of rlE wt fo. $ii &i Fti l <br />lBEd (s6. 3097. civ. C ). <br />AI&lca&LDlclJSAno! <br />I Hr.&n udE FEl, orFi'ry c of lb folb*hg.lrhrb6: <br />Da&lhion P@ir..Arh.not Nodfrtrioi F.ddl l.3lldio6 (rill. 40. Pdl6) <br />-f,cqld <br />tarqof Norituir <br />-l <br />Miry dr {E in-rl Eillrbd Errdlt 6t 16 .Eo$l r. d +9lhbL lo lhi Forlr <br />d.lltry*,*.,*,*--odilllB.td $dc t,B r.hiB ro toi <br />.bor t6tbi.d Fopd, 6, iEFrbD <br />Apptiwr or AS6r Sisird.:-+( <br />in -d rn fii tlE .tdrr n oinri.h ir sEl I +rd <br />iuilB ot.ixiirE rn hd.t y rrhorir .!F*driE o <br />ro (mrrb \ nh .ll Cny !.d Colnly <br />f rh'r Cr ! rd Cody ro cid rrm rlE <br />,_. . qlrllol <br />PmirenamrFrll Jf <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 />Rough Mech. <br />Final Test <br />Meter Release <br />FINAL wlzala-y>-\.at€d tffi) <br />Notes, Remarks, Etc tL \l <br />Sciio! ]076 otllE L.td Codc idqrr nd ddE -t &a <br />^,. .. t/r 1 /o/^pru-.")l.-