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MECHANICAL-INSPECTOR RECORD <br />APPROVALS COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporalive Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulalion <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough 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 />Openinqs <br />F.D. Drop Test <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release t, l.,l r,/l <br />FINAL {| ff1trD7 <br />I1l -llt <br />OWNEf, OUILI'EX T'EI-CAIT TION <br />I tE tt.frm u!& p.uiy ol p6JEy Or I6saigr tlo rlE Co r*16 Li(!E lry fordE folb*t lff {Sa.?0!IJ. <br />B6iog -d ,ro&.iD Cod.): Aly Ciy or Ctury elti!..qii6. Fnr lo @nrtu t .!6. iq.oE, eo[rt s qd'ri <br />-ucBq Fto tot irs...L Eqlialh.sli..r 6. &.n FEn lo 6L..{!.d rrald 'r lEd.a. a ltq!.d F rd <br />ro llE FlrliE of0. Co -tdi ri6t d L.w ((t id o. coorB68 f,it s..lir 7mo ol Dwitio. ! oIft BEiE. in <br />'l!&!b6 C.d.) d tb t a i!. i ddEl ttsrfoo dd 6. hi for rt dlB.d a.!Sb.. A!, vbhioi ofs..!i{ 701I J b &, <br />.rrli.rrr for r Fii &Ud. t 4Plitd !o.ovilF.lyof6l n@ud liE totrd.d.blld(l500l. <br />-1. <br />G owofrt FDFry, or iy..rpbt€ *iU rtB ! lhir FL orydrb!! wiu tb l,tEr.n d.lrirG b a( <br />indrLd (o6rEd 6r.& (S6,toaa. &!iE si,tD&sis Codc Th.Co nddrLiqct edoaDr{plrloDo*eof <br />$.FoFr, {,lD t{il6 nqo€ dlaa.!d e'lD.bo idt ur hiBlf or lE*lf or tlroql' hL or lE oM co$lotq, <br />provit d fin Mh inForqi.d red indLd doftd 6r rl. tl b.w.l,E hliEng o, ilFsqd i 5U willlh m rd <br />of 6ryldi4 tlE Ownd 8!il& wiu hlE 0E hrla of Flvidg th, lE n.h. dij ml hild or iryo* t rrcFty turlE FrF..of <br />-1. <br />s ow oflh Fbp6ty. 6 cb.ely .o,nnduE wnh [cs!.d (6tt*lotr lo @t'ntud th. Fnjdt (S<. 70'14 &!ilr <br />dd hDtlir co&r TIE cotlt..:ioa. Li(6c b*.b6 nol tpply to r o*G ofproFl, who blildt or iiFo6 lla@.. <br />.!d *tE o'rr-r. rd Bh Fnjcr! win . Cotr'-r<.) lkd Fl.ur lo tlE com.aG'. Litr trw). <br />\r{-- <br />I id.l,r .flim uod, Frly ol <br />-t <br />hlrc.d rill@id.b ! Cqli&r. of coelr b s.ll-l@ tu wl6r' ffir6.lion. ! Flrid.d 6r bv sdaon 17@ of $. <br />Lrbd co<t , tu rh. Ffolllre otl!. *!* for *'i!h th. F6i b b&d <br />rl'.\o'lli,'\hl(lrrl'trttrr Irs'\{al\t1so't(rL,trnI{n\I(r] rsu n(.(r"(r,trtrltx)1tr\ itrtrrld fl. <br />Poli., N@b(-Ery'g: <br />-t <br />criry d'r in dr p6fotr c of lh. w!.t fd *nit lhL Foh b ist( I Ad 'it oqby f, FE h ey llt&E <br />3 s lo tclc slixr & $. vqtcr'onpa{&h Le otc.libmir Dd ryt $r it I iod.l h<od il*fl ro tlE <br />w.ta @l!,qlior FlEir of sdlii l?oo of t t to. Coda I fill frdlEi$ @rqry wnn dE Fvd(E <br />.ivil fic !p lo oE h@(H rlFsn .b <br />sdirn 1076 6fitE trtd Coda id6..t !d <br />llOO.OOOl. i! .ddibr lo llE ..r of otrpddi@ (hl.36 6 FoviLd fo. E <br />I!|:u-.\&ura) <br />, h@b, iIm ur& pdrxy ol p..ju.y rha I @ lica!.d ur& Fovirbi olcluplE 9 (@'tljrEins qih Sdb. 7000) or Divtio. l <br />of dE BNi6 .d Pmfoio6 Co&. rid ny li6E ir h tuU foc !d cIIEl. <br />callrxuclrodlrlElrclcl!(I <br />I tErhy .firn uds pdny of Fidy fia 0'@ ir . odudiD ldn8 .acy fq li. Ffqoe of li. wr tu dlih ihb Frt I <br />ir.r.d (Sa. 1097. Civ. c.). <br />AllllcAur.DEclaSArra! <br />I hdtl, rIfrn uid6 pa.L, ot FJUry od of lh. following daledioE: <br />&elnbn PmirlAtt nd Norifrxi.n f.dd.l R.AubioN (Tnb 40. Pol6) <br />-R.quiEd <br />Lald of Nolii.iim <br />-l <br />cariry ibi lt. Ha.l Esulnior Earli{ .!h.ro. tEsr.l F d glirbb to ui F!j.5 <br />.tE ro @41, win d cily dd codr, <br />n€ oflha cir, or<l Coudy ro .nd 'po. UE-, <br />*r, -.//t*,oo * ndb..ir d rlr dr d..t E infor btriqrEr.t <br />ufrlL..dAr.lls,& lo hdEiB od,Ei!o. -d h.6y rdo.G,tFEd, <br />&E !i*d FlFry 6r S.ai(E FrF.c I <br />^**C*',*^* V w\t " M.,--rr>r-i-&q(r Vtr*h., u!jH 6q-oq-lcl <br />zza)tfitill <br />ID/SIG. <br />lnstallation <br />Above Hard Lid <br />Notes, Remarks, Etc. <br />DATE