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APPROVALS DATE ID/SIG.COMMENTS Appliances Metal Fire Place Evap Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood I Type I Hood Type ll Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. Final Test Meter Release FINAL 6's-/A,/r.Gb ?d ! -. oivB-Buildcr D(l@tiot I hd.br.firn unds p.Mht ol p.rlurr rhrt I rm .x.nfl lorm rh. Co.rdtun L'en.e t w lor lh. a.llowms raon (!d ?011.5 BBin63 .nd |rofdion Codc): Any Cny or Com, *hi.h rcquiB . p.mir to .oErtud. ahr. imprcv.. d.notiln o. ..p!n an, shcruc. p.ior ro ir3 i3suic.. obo r.quir6 $. rpplic! lo.3uch p.mi to ,il. a siin.d !r dcnr rtll h. or sh. ir lictu.d punuan lo th. povitioB of th. Co.t..loir Lic.ns.d hw {Ch.rl.r 9. Conm.nc'ns wnh Sdlion ?000 of Divilion I of lt. Bu.ins3 .nd Prol6!68 Codc) or lhlt h. d 3h. is crcmpl lhd.noo r.d th. bB! fo, rh. oll.g.d .icmprion .Ary viol.tio. olscrio, 701 L5 b, e, lpplicut for ! pmi rubj.ct! !h. _amlrsnr ro. crvrl p.trllrt olnor mor.rhln nr. hundr.ddoulBl1500) dJ1"**r,n r.*r. or Ey .mp.y6 w irh wrsd .. rh.ir ior. comr.Nrion. wtr do rh. worr &d rh. 'rrucrm is nor i.r6d.d .r rlil(d lor ql. { sE 7044. Busnds.nd kof.!r'.nt Cod.r Th. Conrr..ror'i Lic.nr. Lru do6 rcr.pply 16.n o,ftr 01lh. prop€ny *to buldr or improvd rhs6n. Md $ho do6 lrh,ork limrlfor ha.lf.rtuorsh hh orhaM.nploy6. Drovidd $i luchidriorarc dcNr;'.nd.d oronq(d rorsk lt houcvs. rn b{ildins or inpov.Ec ir $ld wilhin otu y@ oaconpl.rion, rt OwM-Buildd sill hlvc rhc budc, ofprovils rhll n orsn @| buildorimpro( aor rhc purrolc oa3.l.). _1. a ownd oflhc prop.ny. rn .x.lueir.ly conmc ns wirh lic.Ecd ontrocloE ro coBlrucr ln. proj.cl ( sd. 7044. BBin43 and Prcf.so. Code Th. Conr8dols !c.c. Lr* do6 tur rpply lo e owB o, propory vho b{ilds or inpro\ 6 rh6en . ed *ho proj*G with. Conrado(, Ii..n,.d lhe conr6cl0as Liccne. t w.l. und..p.n.ltyofp.rjuryon oathcfollow I ha!. ed will Daimain a C.nific.r. ol( oB.nr ro 5.lr-l Mrkea co D..erro.. rs lrorded for bys.crion 3?00 oarh. Ijbo' ('odc. ln' rhe ndlnrrn.i.. olth. \.'l lnr shich ilE pcirnil i! isnrd I h^v.rnd*rllmrnt 'n work.ri 6mp.nsr6n r3ur.k.. !s r.qrtr.d by S.c.on l70O.lrh. tibor Cod., to. rh. p.rfomEnc. ofth. .omp..srbn 'nsurrnc. o 'd rnd pol'.y nuiq6 m.c( (c) =) D { b. conpla.d if rh. p.mi b lo. Or. huodr.d dollG { I I 00 } or lB) I c.rlify lhd in lh. p.rfo@nc. oflh. sork lor whi.h rnis p.mil cmrloy any p.uofl in.nymrnncrso oslo herm. iub'.ir ro rh. *o,-.*"*u""1-,t."r'** l,DltLll rl.r3 cohpen$ri6n Lws6f calif6rnir. rnd ld b.con. subjet tu rh.qorl. ofS.clion 1700 oalhc Llbor Cod€- It5 I ,"n*n,n., I"r,,.'J s*ure NorkeB' conD.hsar'on covera-!. r un rn.mployer ro cnnnn! I p.Mh6 .nd crvrl 6n6 up ro on. hondr.d rhou$nd dollm ( $ 100.000).in iddilion ro th. rfi. kho. Codq rnl€rd lnd a(orn.y s fcs a p.ovidcd for fic S(tion 3076 of t_l( uNsl:D( ()\ r\( t(Iisl)tl L\ll\ ()\ I hcrchy iff n trnd.'poal(r.fpcriuryrh.r Irn li..nscd und.r ofChaprd 9 (.on6cniins snh S.crion 7000) ofDivision I ol ih. ttusin.s a.d lrcf.sioE Cod.I {*,,,( ! lErcby lfnm undd D.ully ofFjury tbtl thcE i!. ilru.d {Se. 309?. Civ. C.). h. p.raonnancc oarh. wor[ aor $hich lhis p.mn is AtELlCANI:ji.DtClArrI&! D.mlirion Pffiir$tuhelos Norifiotion rcd6l R.sudioB (ThL r(). P.rl 6) R.quiEd Lcrd of Norilicltion I cfiift rhrl thc r.doll ,.8!litio6 r.addin3 sb6lo! rdold o. nor .pplicab,. b fii! projer. I c.niay rhrt I h.v.rcadfiisrpp ninandiarrnrl rhcabo\. inlormarion is coEcd.l agr..to complysirfi !llCiry lnd Counry &d hftby aurhoriz. r.pBcnr.rir6 ol rhs Cny and abov.n.nrion.dDoo.ny to - -A11 t!,miUnspocljon Forms\M€chanlcar-lnspgctor .doc 03.31.06 MECHANICAL.INSPECTOR RECORD lc (r s Add c\. ordidnces and Srar. lrws