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APPROVALS DATE ID/SIG.COMMENTS owNEt DUtLDlt otLanafioll
<br />I @,.!rm !rd6 Frhy or FjEy tn I E adll &o! !r coinl.|d Lk.u rn for t fou.ei.8 !q,! (se.roll.l
<br />Buils .'d Profdion Co&): Any Cny or Codry etlth E$rira . Fmii ro 6!rru4 .116. irp.lrq dd6lith or lrpt rni
<br />itr,.turc Fi, to in ia'e.. & rlqniE rlE ecltld for ut FDn to nL . risEd rrad dr It or t!. a lid.d Fdd
<br />ro rn FqnE of ltr Coor*la! Lien .d t* tct prr 9. co|lll'dn€ *it Seib. 7@ ot DivtioE ! of tb luiE -dAoft.i'o cod.) d $r lE d tE i q.rer rffioo .n E iir 6r dE dhld aolobtr A!, vi,Lion ofs.dn. ?031.5 b, &t
<br />q?li@r ftr . p6at ebi6r! t {pliqd lo. civilpcBty ofbi eFtlE fnc hutu dolbr (l50l)).
<br />-1.
<br />r ow ofrh Fn!6ry. q 6y 6pbld *th *r3. a tlEir -b o|,p@rb.. sill & dE*rt.d dE irdE a ol
<br />ilad.d 6 ofic!.| fa.|. (s6.70,(.. &!iE ed i!ftriE Cod.: TIE corrcd t tie L& d.E b. 91, to o o*c or
<br />rn FFry sb b&r a qo6 tt6d. .d db &E idr *t hi@llo brlro, rlrlo|! t! d IE oB qlord.'
<br />Fovid.d lhr st itqo\ffi G or rraddnoftrrd hfu.L lt. ho{tq. dr h,ildil d ilFBqEi i.ld athi c )d
<br />of Fnptrifl dr otu B,i!6 wiu bE 0r hlda of Flviis dli lt d t!. did Dl hdld d itqow UE FFry 6r d. F4o* of
<br />_1..o{E ofilE Flprrr. -acbiEly@nrdirg wih ltE d @irrr6ro@n u.i tn. For.a (Sa. 7044. &@
<br />dd hDli6 c.d.: TIE Coirr-d r Li@. lr* &6 @r el, ro o olc of FDFI! *to huilL d i.Fo€ Oa@..
<br />Ed el,o @drat 6r rEh FDitr. wih t cdri.ddlr li.d F rll rorlEcon.dqt Lto! t e).
<br />I tun.\.lnpr unJd S(r
<br />Dtr. ()rtr6
<br />t!!atrlj&:t(arf}::t u&-rlr[ga8J.!g!
<br />I hscl't tnr und( lBrllrolpqu^ on.orrhcfoll'rrtr,t ds.'l ari,)ns
<br />-l
<br />hE !d will uin& . Carituic of Coer lo Silt-lrE fr. Er.r' trrsldi4 r Folid br b, &.rno l?(p of lt
<br />L&. Co& ft. tt F6.c. of tt rst fd ltid ll. FEi a i..d
<br />I h.r.dnd$illmain!.in wollldr' .on'r.rMrion iNu,.rEG..r r.qur<l h, Sdrion ln .frh.lrb(ir (ini., for rh. rEfo,ruc. of
<br />thc worl for trnich lhir r<hi! is isEl My worl6a ..nnd.lion ituurDcc cdid &i inicy numbd d.
<br />-l
<br />cqtiat lnn ir E Ffolrl@. of ltG srt aor wnth ltt Fn n iM.(l I rll.ll tul drloy oy tE$, i, oy tl:!ffi
<br />s r 6 tcor $litr lo tr mltd ornFErid lM of Cnifodi. .!d erE Oi if I rlbuld beor $bFl lo lli
<br />rqta @trp6aid FviioB of SariE l?m of lh. ]-&r Co& I rlr!. fdth$nh otrPl} {it rlE lroti.iE.
<br />w,lllNlNc lailur. h strre qorlos .on,p.astnn,..r( s. ri trnlisful. r shnll s,U(r r'r dntl(\id N rinrinil FrhE ind
<br />civil ftrs urro on.l,trndr.rl rhous,l tl|ll-r (!10o,o00). m oddinn' tt rh. cosr oiconp.nsrion, (bnn!.s 5 t(r d nn rhc
<br />Sdrbr 10?6 olrlc Lrbs Codc ir6t, !i md4r'r fd
<br />(>N:_
<br />I.ICIISIASO!trBACIqB
<br />IECIA8AUOtr
<br />I todr.f[iE ord6 !a.ty orFjEy lL l E !6d u& Flvtb. oro'+r' 9 l6|t!'1Eiar wil' S.db! ?A0) ot Divi.br ]
<br />of E &!iE -d PDbiE Cod., ..1 !y lic h h tul toc d .rE r.
<br />Li4Lic.NCh<: l.ic.@ Nuhbd:( e 5r' 5cq
<br />br k1/(1 ..,,-"..K 2V-
<br />collsfRlrcTloN LF,{Dltc ^cFN( Y
<br />t h@tt ftm und6 Fn liy of psjury lhd lh* n ! on rudior lcndiiB .sft, tot th. FftllrG. of th. wort for {ticn fii! lEail i
<br />islcd ts< 1097. ( iv c )
<br />ATSJCAUI.DECI.dIAIJO!
<br />I brra.e, u!d.r F.ly of Fi'!y oB of lt. hlbwilt &.bri6:
<br />D@liir lEDietubro Nodfsio. F.da.l 84rLia GiL 40. ?n6)
<br />-R.q.rid
<br />ralaof Norif.iin
<br />Iedrifv$d rh. f.dsal.+uldnr^i rc*sdins eslEr'i onor al lrc ndr{flicabl. n) rhir flld
<br />I .cit Or I hr Ed ll|it {draih d,i.lhr Ettow hlodria ir(w6t.I.srEloo!d,*t[tll ci) ed coury
<br />oditr.,E .i 9d. L.s clirB ro ttriuilg @onrsri,( td hdr6, ,!tdn rw6rri6 of tnir Cly nil Coudy ro ol? l+on ln.
<br />rtow 'Elion d FDFry ftr i\?ir EE. .
<br />Amli<$r or Asa, sis.ic 1\1-f-
<br />FmneNE(Fh,f e(uL v'14L
<br />*",!tl1_l!
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulalion
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<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 ?lc'sln e6tl lo)
<br />Noles, Remarks, Etc.
<br />MECHANICAL.INSPECTOR RECORD
<br />c',i., (1t( o 51qt c rd-&'i,(?.{fJ(e ..o^d4'l,!1
<br />**rn"-n. KnsS>/s l rsz-bg O an-, oS/oz/ z'*'
<br />Vents
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