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MECHANICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.
<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 Ranqe
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />Openinqs
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech.z-/-L(lLc 1 ,2
<br />Final Test
<br />Meter Release
<br />N€.t?as vr,"/FINAL 4)
<br />Notes, Remarks, Etc.
<br />O\f NEN BUII,DTN DEL('ARATION
<br />t h6.by lttm unds Fnr,iy ol Fj!ry lhd I an .rmrt frorn lhc ( odrrdon' l,ic.n* l* lor lh. follo*inr t@n (lL.7oll 5
<br />B6'n6 !d Pmaaio. ( odc): Any ('il, or ( ru.ly trh,(h rqutr6 . psmn lo oljruci, !lra. impoe &nolnh or r.pan u,
<br />nM@ D.ir ro irr ie@cc, .!. r.1u,6 rlE qDli.er for och Fmn k, Iik ! r'tn.n *ddml lfia & or CE i! li..B.d P@.,n
<br />ro fi< FovilioN .f rlE Cohudd'. Lrc.nrd liw ((t',a 0, ( om*in* nilh S<ri1n ?Lxx) of Dirirn]n I of lh. Bdins Md
<br />Pmf*ionr Cod.)orlllr h.6r.lE i!.ropl thc.lion md th.tf,ss to, tlE.ll.!61 .r.nF i.n AnyrtuhrFnofsdi.n,0115 hv Dv
<br />q'di.@lfor!p6ohru$jdrrh..rplicello..nrlpnullyoffrnDo..rh&fivchundr.ddolle(t500)
<br />-1.
<br />s or€ ofrlE Fn?6t . d Gy Gqlol.€ wnh sr.rr B u.i -L dadbn win.r, dt6t.d tLildE i d
<br />irad.d d otuld fo. rl. (s...70a,1, EdiE !.1 Pt!6.rir Co<b lrt colrrctt [i4 te d.a d +Ply ro & o*a of
<br />th.FoFt, *toh n 6 ilFositcd. d rtb.16 idr wt hi!-lld bd*lf or lrfuri hit d tE om.!?bra.!'
<br />Flvit drhrdr itq!86cd iradddoiEld ti rL t( b,aq.rt hdlditdlrywH ilFq*ilild rd
<br />ofoqbilo. rb OrE aiEa *iI bG $. hltb of FDvis tL lt a *. dil d trlld d i4.w li. FFr, ft. tt Frrcof
<br />-L
<br />sM of $. FnFry, d 4l'iGl,6nr-ri!r rin liE d@n *rd b @!r,ud tb F!j.d 156- 70'ra. &!6
<br />d F!t& Cod.r IlE co .iad ! LtdE t * .b6 Dr Dly lo ! ou( of FoFr, *lD boild. d ila.o€ taoi.
<br />!d sib ontlr ft. ndr For.trt wilt . CDdrdd(.) li.!.d FflEr lo tlE colrtcd t Li<6c 1e).
<br />I m .rm,r utxk SdFn-, g & P ( for rh! r@r
<br />Drl. oitrr
<br />IaEalECIAulEUSAuA!
<br />TECI'EAIIO!
<br />r hd.by.ftm !.& Fd, orFiuy@ of it! 6lb*ia <hlrrbE
<br />-l
<br />t&r d 9iI nid.b. Clrlfr.r.ofcorEr lo s.lf-lEE fo. wr.r'drq.rn r . FDtjd.d 6r b, s.ci{ lmo of tt
<br />Lrtq c!d.. h tb F dG ottL st 6. ,[i$ lt pdEit i iEd.
<br />-tt E od siu Einrir *dta oqdrb. iMsE . ,lqriql by Sctbn l?q, of lt Lld Co.l. &. tL Ffq@otrt Frt 6r whtt lti paan i iB.d MyEtd od?di, n.!rE ctrE.d Poli.y 'n!. c
<br />-l
<br />carit lh.t in tlE Ffo,m. of tlE mrt for *tii lhn Fn b i&.d I rlll tul dPkty 6, F5! in d, ttllE
<br />, B lo 6@E $tiFr ro rL rqtd ooFllaoi L*r of Crl omn, !d tE td irl sbsb hEod $ti.rl lo rlt
<br />m'ta'etrpaEdio!Flvti.ots<ii[!l0oofiElddcodqldtlltb(llvin@'glywirhrlbnF.vibd.
<br />w AxrNG: FntE ro E@ wqt6' otFlri.i tuvr.8. b oLrtut. !d th.ll $blxt r @pbF lo ainiul F.lE Ed
<br />.ivit fc up ro oE huxH ltou-ld {bllr (lloo.om). i! ddit6! ro lhc con of NmF..riol! d&n s6 ! F6vni.rl 6r rh.
<br />Serbn !076 oarhG t b.( Coda inrs., .i &orEy t f6
<br />ltc&$D-codrBAcrqE
<br />DEC|JTAJUOI
<br />I ha6y drm uoda Frhy of Fiu.y thr I E licr!.d un& Flvhioi otcn dq 9 (<offiiia wnt Scrioi 7000) of Divilriot 3
<br />of rlE Buing Dd lt!&!ioB Cod.. rd ry li.gr. ir i! full 6rc.d.,E l,
<br />.ic.4Numba:
<br />-
<br />calirBllcllll!.tEulllqt$iEgcr
<br />I ffir dIm mda Fult, or Fjury rhr rlEc i . olJdclb. lad,s l8*y to, $. Ffoll@.. or$. *dt 6, wtrh tn Fsn i
<br />is.d (36. 1097, Civ. C.)
<br />t-dz. r*-
<br />-
<br />AIIIJCAILPECIJIATIO!
<br />I h.d,rftdu!& pdrt, ofFj:6y oE ofrh.hllowiis d..L bd:
<br />Ddbubn P6ii9^rb.e6 No{i6<iion Fcd..l Rqrlrla (Til. :10. ?n6}
<br />-R.qui!d
<br />tdd of Nol6.rir
<br />-l6iiry
<br />ti tu &&Jq{riE nttrer &6 .@rd !! d +{i$L lo Oi F!i!-
<br />-J..tt &r I h&! rEdlti ldtrit d fl.rh dt &E hbrErL6 i dia t lrc to.o.qt, *ii.n Ca, -d C.terv
<br />ddi.@ -d 9r. LlBr.tit !o bilrir o !.riE idh..rty.rtdi.tqdiltt ofdti Ci, d Codvro.16 Fotb
<br />.tor! 6i,o.d FlFry tu tqGd6 FrrG
<br />Arplicrr q A8d SitIre
<br />ZPSAT'J&B
<br />COMMENTS
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