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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <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 />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release.^ , t t\ <br />FINAL )f lrl l,?,oN .a.M]-il rO <br />Notes, Remarks,iEtd ti <br />"7 <br />Olv.l\lET EUILDIT DEItrARATTON - <br />I hcrt, rlrm u!& pa.Xy of FjrEr lta I G q@Cr tm {E Cod...ro tao* tN br tlE buowirg Een (Se,7011,5 <br />Auina d Pioftion C.d.): Any Ciy or Cod, *tth Eqcis . FEi ro 6did, .ta. iE rDvq tuoli[ q qli {ouduc Fnrro it bEC..bo E+i6tL+Plk{ tuddparnro fL..irr.d ir€d trrb.6rt i licq!.! puirr <br />lo rlE Folibr of rb Coc-rd ! Lka!.d r8 (Cl'.dq 9. CohdqEES sih S..riD 7000 of Divirbr , of rlr &uiE nd <br />n"&6'i Coa.t - rtu U - O. i acqr tndriod nd th. trri 6. t drr.d aaFiE Any vbbioi ofs.obn ?Oll.5 br -y|Fli!! t .FEi rq.d. 'lE +diu ro r.iv Ddfyof d DGU&fiE bld,rd &llr! (!5@,. <br />' /.(* *n r*,r.dDrc+br6wir!q6.dri-b6o+.di,..eiu&rl.Etd&.i!de!d <br />'lde 'ofu(dtu *tsE.to.4. eiEld PDfrd(Ecoik Tt corr.cd! li* L.w ib.. !d {dyro - olE of7 !l.F!Fry *b hdtd q!€rlard.-d db &.i.6dt hiB.lf o, taElt6tLo{tii.ctrom.4brq <br />FlviLd rt -.b aiFlrffieb( ir!!(l.ddoftld 6..la l[ h.*.€.$Ehildiid aF6ud b-ld*thbcrd <br />o(<!qlab( 6. ol.G ElnrL *in hE lE hfih oaFrq lb b q & rb Dr hlx d iqor !E FlFry ft. tb Fr... of <br />_1, ! oxc otrhc FoF y. 6 6.laidy codrih8 *ih lkdr6d snBlon lo @on !6 $. FDitt (Sd. 7014. &.iE <br />&d nliim Cod.r Th. Codn.ror'r Li.!E L.e do6 rcl @ly ro m otc ol FoFly wbo t{ikL o. iDFDE lh66r <br />ed wl'o @m..$ fd r*t F!j.d! wnh . C!*.do(r) lkd!.d Fru,i ro rh. Codo<r t Ltce Ln). <br />,1J. s.(h rr rLr,(,"! <br />v- .' 2---\--/nruu.g:dlrs',{nfir <br />Dt(l.\&.llla! <br />I h.!by .fi'm urda Frly of Fiuy @ oft[. hlbwins d.cLrrbB: <br />-l <br />blt -rt eilt qi'r.n. Caiifitn.otcord io Sdf-l64 &. dts. dn?d.rior', r. FoviLd lE Ly Sdrion rT00 of tlE <br />L&r Cod., tu dE F&rttt.E of th. Nr f6 etit rh. Fba i bd <br />_l h.E.nd rill in.i! 6ld €qdriDiElEt. ECutld Dy Sciion ITOO oftt tltor Co& 6rU.Ffotrc.of <br />dE eqt f..r{i.ithi Fbi i dr.il M,wlo on$diE iffi ir nd Flk, !db6 & <br />ryrh ioorFbldEolrt wr Id ltih rti. F n i-,.(Irt ll pl qbyoyFs i...yEea '- iio h6od tuUrGr ro rLwt6, oE airin Lw otcdihmj.. -d lle rnr il t dbuld b.(@ il*n lo th. <br />*!nd' oEFldbi FDvi'iE ofs.dbtr !r00 of0E tl[.. Code I iill. fdh,nh 6npr, wih th6* Fvilia.. <br />ot*ti r dpbF lo abirl F.lirtld <br />ciril lino w ro oE h'-&.d rhoBed doua (ll0o.00ol. in i<Uniot ro tlE of cooFdiotr d6.88 i FoviLd fot tlE <br />z/9,/zi.E!n sd.nonrr-t foq. <br />a <br />!IEI3AATq! <br />I hqlt y .ftn uda F[fy of pdju.y dn I o li6t d ui.ra Fbviih of cn.plq e (.@in8 eirl S.dba 7w0) or Divirba I <br />of rhc BsiB &d Plok iE Cod.. &d Dy lt.* ir h tuI fDe .i.ifd. <br />coll.frllrcflol\l I r{Dr\l(: <br />^cf,M'YI baltry.ffrE @d6 pdlyorFiry tr tEr b.oialdir hLr r6y &.0E Ff!.Da. or0! wr 6r u,h di FEi i <br />is,.d (Sc- !09r. Cn. C.). <br />AIILICAIL!&CIJXAIIO! <br />I hlr6y.,fri ur& F[!y olFj'Ey oE of tL folbwiq <k Lrri6: <br />&mlibo !@it!"Arbd6 Mri6.nio! Fcdd.l R.sulniB flnb 40. Psr6) <br />-R.quiEd <br />tdlaof Norit rh" <br />C' t/, l).2' <br />r <br />lnstallation <br />lrtin'r N.4 <br />- <br />[------r------