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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS OwnlIR AUILDEI DEIXANA'TON <br />I ho.t! lrm undq pslhy of pdjury rhll I u *dF toE rL ( odndon Uc.nG Llw for tlE followi!3 ta]i {sc.mll.l <br />BditB &d Profdbn Cod.): Aly C{y or Colll, whEt rcquid . Fii lo odtu<r. .!6. i!{ovc .E@lith or iP.n ey <br />,rud@, Fior ro ii! Ur@.c. ,Iro Equi6 rh.4llkdt for *h Fdil lo 6L ! lirlGd sdsBl lll, h. or r* i! liGB.d Fddb E Foriio6 ol UE Co'firr'i Lied.d t w (at Fq 9. CoMdirS wth Scrio. 7@0 of D'ivilbr I ol tll Bulind Ed <br />PDtdioru Coth) n rlur ll or rlE ! qmpr thd.frod .nd rh. bGB fo, thc .lk!.d .rdptioi, Any vi.lrrion olsdiln iol I 5 t y Dy <br />!r9li.! 6r ! Fri $bi-|. rlr .p?ltr! to..ivilpdutyotd @rc$n 6vr hudd&llB (1500) <br />-1. <br />d osc olu. FlFty. d By olpbyE wilh v.Bq s drn -L omrdlrab& wiu & lh. wqL rd th. lridG it tbl <br />inoiLd d otu fo...L (Sd.7{X4. &!iB ed P'oE .i,B Coda It!. Comrr.ld 3 Licq* Lw &6 td n lylo r ohd of <br />tbc FlFiy *tD hdld. o Eqo!6 thaEr. rtl eho.l€ Dd hil hidclfor ha!.lfor tluD!8h hq d h- om.inPlor6, <br />FoviLdrtd rdr inF&.!dt&lbl n addaofiild 6r!& l( ho6s.lt.bildiBdi!g$6Er i-&*itboE,{ <br />of oEglaio( 0E O*rq bil& wiU hlrll. hrda of proviB thr ltrlhc dA ml blild or inFlE i!. F.Fly 61 0E ,t pot of <br />-1.ro*cof <br />*FlFrr. &aclNiElycoDb..llB with li.!s.d codEaonto o.ntuct lt p.oir, (Sc. ?044, ElnB <br />rn t,lDEi,!Co&: Th. co n ror. Li(t@ Llvd6 mr.Dolyro -orcofFoFiy*lF t{iLLd idpio€oqatr. <br />ed eho coam.lr for e.n Foj4ir vilh . CotnrElo(r) lig4d !6u![ to $. Conlt.d t l46e L!w). <br />-l <br />d Gr@pr uda S<lb,'-. B. & P,C. fo.thil l6otr. <br />tlllt5lB$lauIllrauaN <br />lrEga8Allo! <br />I hs.b .md und6 p.nlny ol pdjury oE otrh. tollo*iq {k lmlioB: <br />I hnv. rd wrll ruiirin. (.n'f.d. of Coler ro Sdf-16u. fd luk6r comItnslntl! B Fny'<Ld for urL Scliotr i70o oatlE <br />t lor Cod.. for thc Ffot@.c of th. "sll for *hkt lh. lonn i! is.d <br />-l he .nd will h.inl.ln *ortcu @mFrnio! iNl@... c ..qujEd !y s*1ioi :i700 otllE t bot Cod!. for lL Ffoirl@. of <br />rt wt 6r *,lrth lhir pdoil b iEr.d Mym*d oryolrhtr iEfu 6ir !n Pol.y 6@ha e <br />Policy Numbsr-ErPiB: <br />-!.diry <br />rn.l i. rh. Flolrffi. orfi. wo* ld which $ir pdht i! i!tu.d, llhsll nol arltoy ey Fsn in ay Duc <br />$ rro b@r tut'Fr lo tlE e*a'oop6nio. Ls ofcdibni !d ryr rhi if I rlould h@m 4l*.r lo tlE <br />srld' @ip6sdio. pro6ioB of SErior l7m of $. L&r Codc I lrll. fonh*nh mply 8i[ lho. Ftviti6.. <br />lf,AnNIlG: F.iltE ro tu wld'oopa.dbn @var8. b @lwnrt -d !h.ll .ubid 6 aploF io sihid Pa.lit dtl <br />cMI fi!., rp ro oic huidtd thossd dolls. (llo0.o0o). i! .ddl&n !o $. .on of ioqQ..rio!. d{usB 1r FoYt.d for tc <br />SEiio! ]016 otrl* Lrbd Cod.. ir6d ed .ltdEr'l to <br />UCEIIED.COIIBACIAB <br />DECTJAAIIOU <br />I My dlm u.dq Fdly of Fqjury lin I 6 li6tt d un& Flvirio! of Ctupts 9 (@!lll:4in* *nh Sdbn ?000) of Diviliotr l <br />ol rhc B6b6 &d lio&lirB Cod.. -.1rr ltoa. L n' tull 6N rn.fldr. <br />Lrffi.(l!s:-Lic4.Numt i: <br />( ontE.ror: <br />Colqf,aqloelE8DNclcllcr <br />I talty .I&E urda l(,.lty of Fjury lha rhft i. . @di.IiE l6di.s BGnc, for rtl. Ffdrle. ofdt stL tu "ni.h <br />lhb Fhi i' <br />is!.d (Sa lo9r, Ctv. C.). <br />axzJcArr.olcL6tArlou <br />I h.rty.ftt! uidd pa.lty ol Fju.y oc ofrk blb*iis drbl io6: <br />DoElnion PsD r-A!td6 Notifi..rbn F.dGd r.tolrb6 Onk !0, P.t6) <br />-R.qun <br />d l.116of Notif.rkh <br />-l <br />col ily Ihdr lh. ld6!l rcsulr!$N Exddinr sb6lor rdmvll de ml tfi,l,cabL lo rht pnrlcd <br />-l <br />cdiry lhd I h!v. rsd rhn ipttk.rio! dd rrd. rhn lh. .bov. iifodlioi ! cndr I .Ec lo 6mPly qith dl Cny dd C661, <br />odi..rE .d gnc t,u Ehnt lo hrld'q .o'r*uriq rd lE4'y &!hori,. ,lFEd.rnB oflhi! chy !d Co@ry ro ons '4o! rhc <br />&ov. oanio.ld FDFry for id{tri@ pdF6B <br />P@ne n.m (Fitr): <br />Appliances <br />Metal Fire Place <br />Evaporatrve 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 />lnstallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release <br />FINAL lt.+ N uLMt$t ra, u <br />Notes, Remarks, Etc.