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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.. COMMENTS OWNEi BUILDER DEL(ARATION <br />I hacby rlIm undi p@aty of Fju, $at I e dopl ftom rh. conl .cro6 Li.o3. tlw lor thc folloeing l@n (s*.?0] L5 <br />sGinB &d Problio. Codc)r Ary Cily or Coudy ehkt r.quird d ldnh to constucl, al6, imFoe, .larlnh or Epon ey <br />3lrucrue Fior ro ils bs@c. .l$ rcquiG rh. ryplic&r lor such p6tut lo fih. srgi.d $6lmt ltn h. or slE i licalol plet n <br />ro th. FolirioN of tlE ConEactd! Liccned Lsw (Ch!pr6 9. Comocios wilh S<rion ?000 of oiviion I ot lhc BBind dd <br />ProfdioN Cod.) or rha h. or.h. ir .r.ner thacfom ed th. bsis for ll'G .lks.d snFion. Any lioldion of Sdlion 70!l.J by Dy <br />appliclnr lor 6 pnnir subjdB rh. i@lic&r ro ! .i!il pcMhy of ool mrc to fiv. tu&.d dolar (1500) <br />-1, <br />s omd of lh. FoFty. or my dplo)6 with wrgB B lh.t $1. @mp6tio,! wil do t m* sd fE !fr,l@ i er <br />indxLd or ofrGld Ior sL {s6.7044, B6i!B dd Pofdio6 cod.: Ii. co, ncld'3 Lic@ L.w dG ml apply lo eotrB of <br />th. FlFty who buil& or iqroc LIEEE edwlD do6qri m him.lf or hcslfor lteush hi! or lE oM dPk't6, <br />rrcvidd rh.r $ch inlFlrqclr! e rcr idr&d orofold for eL ll h.\Ba, dE tlilCiig m inproEE ir $ld within orc }f <br />ofotrpkhd. tlr O*M Builda wil hlvc tE turdo of P.ovil€ rhd hG or slE dlt lFl hj]d ot irtrp.ow lh. poFty 6r tlt Frpot of <br />l, d omd ofifi. Fop6ry. dn d.lNiv.ly conlraclinB *ilh lictu rl .oilr0c16 16 o6tod <br />'h. F.ja]l (Sd 7044, BEin6 <br />&d F$isbn Co& Th. Conk.crolr Licmk tl* d6 rel .p!ly lo ownd ofp.opGrywho builds or inpovd ih6@.. <br />ed *ho .otur.r' for iucn F.i.ll wnh . Cobira.lo4s) lk6.d pusurn lo rhc Conlnclrt Li.aB Lrw), <br />I an ex.mpl und6 Serion . ll. & l'.C. lor r hs r.Eon <br />Drr€ Onnr raar!8fcaurrltaua! <br />DECldEAUqtr <br />I h6.hy 8lrm und6 p.oly oapoJury o.. oath. followtrr ddlerrioG: <br />-l <br />halc and wiu tuill.in . Cdiff,ar. ol Colht ro SclllBu. fo. wrk.ro' conrr..slion, s prDvid.d for by Sclio. 1700 oa$. <br />t bor Code for lhc lcfotrMc. of lht port lor *nich lh. Fnil is isucd <br />-l <br />h.E dd sill oai !i. work.G conp.Barioi iGor&.c E Equn.d by Sdtion 1700 ol lh. Iibo, Cod., for it pGfolMc of <br />lzcsf <br />-l <br />cdily thll in $. pofommcc of rh. eorl fo. *hict thi. Fmh L isu.4 I allml@ployeyrd$ninDymffi <br />e B ro hdoft. tubj€r lo tlE m*6'ompcosirio. bH orcdironia ad.sE th, if I should bqonc aubr4r ro rh. <br />sorl6' odF*rio. prcvirioB ols..iion 3?00 oflh. Llbor Code LEll, funhunh omply *ilh llDs pmvilioN.. <br />w,tRNtNCr F6iluc ro s6. worl6' comF.lltion .o!da8. is url.wtul. mJ shlll subjd e dploF lo onintl FBhi6 Md <br />.ivil fin6 u, lo on hddr.d fio,sd dolbB (1100.000), i! addniod lo llE cosl of conp6rlioG da@96 a provid.d aor rlE <br />S6lion 1076 ofrh.libo, CorL, iot6.c dd.tra*) r fd <br />x.,"zln lttt/- 7 <br />I nd.t'y rIIm udq podiy of Fjury lnn I 6 licdr.d uds Flvirion of Chlpld 9 (@Mi.8 wio Serion ?000) of Divilion 3 <br />of rh. BuinB od ElDldio6 Co&. ed my lic@ is in tull f.e.ri.,I*i <br />3t <br />x""-"x- <br />arfttc&1ll)I]cLalaua! <br />I lErb, a1lm uid( p.nalry o f ldjury orc of th. aollo* in8 deleat ions <br />D.nolitioo Fmils-Asb.sl6 Noxticario. rcddal Rqular io6 (Tirl. ,10. Pd6) <br />-Rqtunel <br />lnts of Noi6cdF. <br />-l <br />6dry thd ftc &da.l .elrdioB Egadile abdor r@vrl e @l lrpliccbk lo lhit Poiai <br />D?.-,ry,-,*,-,*@pl,. ioiedsri.rhdt.bov.ilro@rioni.corrdr.I.irero@od,enhdlcny&ttcoury <br />ordimncG md Sral. L.ss Elains Io hoi <br />,b.vc monon.d propdy lor icp..rion <br />and hftby rurhort. rcF*r5riv6 of thi! Cny sd Couty ro 616 uFo $. <br />Applicml or A86t SigMrurc:t\ <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Range <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.zlzsltl //n{D <br />Final Test <br />Meter Release I <br />FINAL ?le/tt I A/)l,/ea/e d/r,4 J+{ F,*l <br />Notes, Remarks, Etc // t/ t7 ///fLr(- <br />Pre-lnsulation <br />Other <br />elz tl I <br />(aNirau0ra!r[tDt!ic-ac!!.c] <br />I h(ehy omrm undq r.naltyotpsjur,lhn lhdc 6 t co[druction lodins a!d.y forrh. fslomarcc ollhc\ork ror Nhi.hrnB pdril b <br />isstrcd (Sc l0'r7. civ C l. <br />tetrJn 5 Ni e <br />Pmitc .&n. (prii0 a;;r/F <br />I <br />I <br />I <br />=