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MECHANICAL.INSPECTOR RECOHD <br />APPROVALS to/stG.COMMENTS <br />Appliances <br />ttiletal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />IVlisc. Equipment <br />Duct Work <br />o//SJta'ap*<4rr--54 <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residenlial Ranqe <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 Ll?Dlt1 tr.er60 h4'Fwd <-&4,|cdAt <br />"$ Lrr-r h)lero-. at- a5 <br />Bough Mech.ck* a- fi-"+t^ <br />Final Test <br />Meter Release <br />FINAL 6//t//1-.0440 D <br />Notes, Remarks, Etc. <br />o\!Nlita Eull,DDR D!:t,( At{l-l.loN <br />Au\inc* nd Pi{'lr\si{ Codc) ,^Dt Ciry fr Counr, $hich rrtunc\ r ncnnir h.otrnru.r. nXtr, rDt}ovc. lunrni\h.r r.B't rny' <br />dpnll.iDt n)r iNnnir \uhrcN rhc n|]!li.rnrro rcr!llpcfrlry.rrr trcrI riv. htrrdrcd,lol1l^ ($5{xr) <br />-l- <br />&i owid of rlE lmltnr. or n, crplojrc. wirh {a8cs as tcar $k conFnuio., will do $. sll( orn dE srudE i ml <br />inrarlcd or ofl€rcd fo. sh (36.7044. BusiEss md Prolc$t n. Codc: The Conlrlclols Li.!f,s L{w dcs iot Br'rly lo an oqmr of <br />ihc pmFny who t|ius or iryftB rlt6n. drd wtb &*: skh wo* himsclf oi h.rslf or rhrcuth hk or h.r ovn cnployccs. <br />ptuvidcd thd slcn iqftrm.re er hrc'id.n ndtud ror slc tt hoew, rll builiinS o. inpmwmnt ir sld wilhi. orc )ta <br />of.onrpktioc rhc Ovrcr BliBcr wiu lEr tlt hr&tr of pmvins rhsr lE or \he di, rcl liild o, iqeE ilE pDFiy for ltr lu,Frs oa <br />_1. as.wncr6r$c rqrny, a crclusivcly.onrdine *irh liccn..d .onrerom lo.onsrrucr rnc Fmjer (36.7044. Busim$ <br />and PDfssion Codc: Thc Conrrucrols Lkcnsc Liw dms nor sp!,lyro !nosNr ofrropcny wh. buildr or improvg <br />'hcr.on.and sno conltrls for slch lolccrs wirh I coithchn9 liersn Duruln l. rhc cudBcrois Lkrne Liw). <br />l+ <br />ugrL!&utor <br />I hcEby nlitm undcr pcM,ty of pdrury <br />-l <br />hlvc a,t sill minrain ! Ccniff,.i. of Con*nr ro S.lf-ln$rc for ,0*6 corwNrh.. us pov,rhd lo, by Selion !?00 ol ltE <br />rtbo, Cd!c, for rh. pc.to@c ol ltE wort t shich ilE tEon ir nsrd. <br />-l <br />havc lnd will maitrrsin $ortcs comli.Ndion inslramc- ai rcquiEn by sNl irn l7O0 of <br />'h. Libr Cod., lor lhc Pcrformmc of <br />lhc rork for whicfi lhis pcmil is isnEn. M, *orlen .omp€nslion insurmc cmifi dnd Plky numb.r {c: <br />W RNING: Fdluru ro $curc *trkc6' comF.trsorion covcrrSc is unl0qlul. lid stull sobjcd !n cnploJc, ro dninal Fmhics .nd <br />civil tncs ut, ro om hundEd rtousand dollas (I00,0m), in oddnion ro lh. cori olconpco$tion, d!tu8.s.q p,ovid.d lor rhc <br />scction 1076 olrhc titD. Cod!, itrr.rcst lnd <br />DELTAALION <br />ol rlE Busi,rcs Md Prolt srnnr s Codc. nnd nryliccnsc is ir rull li,rcc 0 .liicl <br />la.lil8l]lljoNMulllir\QLM <br />istr.d lsc. :1097. Civ ( ) <br />AITIICANLDE.CIABI AN <br />I LrchynfiinnurLlcr pcnally olpcrjury onc ol lhc lnlk,*trr dc.lirrli{trt\: <br />Dc x)lirk,n Pcrnrirr Asb.{o\ Notifi.nrion Frd.rtrl RcSuhri{,nr (l iil..l0. Prn6) <br />R.!uncd t.rtcr olNorilicdiotr <br />.onDly*irhrll Cty,nd counry <br />hir Cnyand Counry ro.nrd ulsn r'E <br />d <br />I <br />DATE <br />Pre-lnsulation <br />-l <br />.cniay rh{t i. rh. I,crformmc of rh. *o ror {tich rti. Frmir is i\$cd. ! shlll nor cndoy {ny p.rs. an 3n, ronncr <br />$ G ro hcom subj$r ro rh€ wo c*'d,r{Ensrion Lws ofcllifodi...nd {e@ th if I stsuld beom subrEl lol,E <br />pork6' otrpcnsrion previsions of Serhi l7m nt rhc L3lior C!'dc. I slau. fodhwith conply *nh ihos ,rovisions.. <br />-------r----- <br />----+--- <br />I