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MECHANICAL.INSPEGTOR RECORD
<br />DATE ID/SIG.COMMENTS O$'II8R'UTT,DER DETXAR TION
<br />I hortr rm urda Fdty of p€jlry Oi I - s@pr tm rlE colrr-i6 LiEE t s fq E folb*![ ,5E (se.?o:i|.5
<br />&Bir* d Pre&rid Co<t): Aly Cny or Cdrr, rltth &q!ns . Fri lo 6'itu4 .!4. ittrcB. (bElilt or r.r.t rv
<br />niErc Fi,ro ir iEurq.to 6qlc llE tpl.li 6.unFnib fL..i!.d r.@n rlEdiEilsat.l Fl,rdt
<br />to llr Foviird of dE Cod*rdi LiGE d L.{ (cl!4tE c. CorllrE64 wth Scrin 7qD ot 0'ri8 I nf llE etiE !d
<br />Prokb6co{.)alna lE6rh. i ad$ 66tf,@.ddE t-! &i Edh.d qoqo 4,, vblrbi otsdtd 7011,b,i,
<br />@ltrr 6..Fni rbrdtrh eli.d !o.civilF l,01616Ett6 tec hi(h.i! d,llrt{t m)
<br />-1.
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<br />ir64d d otu 6. r.lc (S-,?oar. BuiE -d PEliSo codc Ti. Codtrd u.d. ls &6 ol ryav lo - ffi of
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<br />FlviLd rlr o.t iquld Gd ira<l(l d oftrd tr.t lt li,Ir€.{tbn&3diry6ld asldrad ,{
<br />ofc6pbta. rh OrE &ildd *i[ h.E dE hi&t otFott dr hdtE(b Dl hiu d -q@ rb Fqd, n lbFt o..of
<br />!. No*n6ofrh.Fop<n), m.rclostr(lt (ontr&1r'* sirh licor.J nrikitlo6 !o otrrru.l 'h. Ftlid (Sd Tlrll.llur'6r
<br />rnd [bf6rM cod.: Th. ( onrr.d,n! I '(.N.1d$ dt)d n.r.rPl, nr M osn(.fprotE \ho hnildl r mrodrhd6.,
<br />and sho $nrcct lor !u.h rrojdlr s tn ! ( i'nl6cnr( r I I'cs.n ,)r6uid ro lh. C.nts.r.fs l.icd* I .*)
<br />I M.rc6pt u.dosdtn,n , B & P( nrlhir€Mn
<br />D.r. ()rrcr
<br />\lljRl(f lls ('oilpE\sa'l loN
<br />DI(IAAAIIg!
<br />I h6.tr' .mm undF t'6!!q ot FJu, r. oc on tu n,lk'$ mr d(lrllirB
<br />I h.r.,rd tr rll tuddn. ( drlicl. of (ilFl ro sdr.lnsur. i{ $0.16' $oFdb.. G Fridd for b sdFn r7(r) otlh.
<br />t,t r ( od.. fq th. Frer:l@. .l rhc *oit r.r utrh rh. poT . nru.ri
<br />I h!r. rnd \nl mi.r.in s.rt6' conFdhi nruhk., s '.rl ud 1,) s<rhn 1700.f th. l.hor (i{l. ({ rlE Fflrlrllu. of
<br />rhc rorr ror nhkh rhir p.mn ! Eid il\ qorl ..nrrEdFn iN.tr. ffi dn lrl.! tunlE t.
<br />Polk, N@be-
<br />--ErPiE:
<br />-
<br />l.aritrn b dE Ff.lrre of lb u fd *tkh lti. pGDi ir i$.( tdru |bl.qbydyFror i.d,DlE
<br />- ! lo tq.G et+lllo rlr *116'.@Frrih hwr ofcdtfodj...d {rcd. if I dbuld bcdE objc! iolb
<br />@ o' .mF!.ih FoviirE of sdbr !700 of rlE ["e. cod..l !t tL fodvitn 6tglr *tt lho- F!Yiid..
<br />0
<br />UCIMEDSONIXA(:IO([lclt8Arloa
<br />I lE*y .IIm ulds ]dty ol Fju., i! I D licai.d c.& Fo6bo of Clt.Fc a (@ffiilB *it Scrin 7000) ol Ditabn l
<br />of dE &!n6 d Ptoturio6 Code -d ny ltqE i in tull 6ft.d.fF.r
<br />,,.*.L- f &-,. Zl2ol n
<br />8s97
<br />D,rz
<br />( o\slRu( Il(rN Lr!\Dlll(i AGEN(-l
<br />I n6.nr .rm und6 FBh) of Fjxrr rhd thd. n5 $n{ru(1.i blrlin! +ftt for lh. FLlI1s. of rh. $o'r aor trh.h rh6 Fn, ir
<br />8ru.d (sd loi.)7, (-i! ( l
<br />I cnLlo ! \am.
<br />,rprr rr,rl r ort t aotrtrln
<br />I hdrt\ trflimrunds pcnrlr) ofFiuy.nc.fli. hll(Nn,r d.clmri{,ns
<br />l).ad(i,,n t6tuc. shcros Nolill(d(rn l.ddnl R.xtrrsr(n,i ( l l..1lr.I'nn6)
<br />Rdlut.i I-dld of Nontudkr
<br />I c6 & rhi rh &darl Esuldiod rB.di.8 Gb.nq ,m\rl m k{ +liobl. lo $i Flid
<br />I' ,",,'r ,n, , t..,-. 't. "mlr. r.n.hr{ rrh. 'r'..,h{.rr,nniFnNrJnc' L'r'c
<br />, (lilun'6 ind \hr.I-.',.hnl\ r., h"\l'Fr \' n{'rrr'. ulh..h\rurh{'/.,.F.srtr6
<br />.li\ ( n6r klrd rnond\ ro: 6t <rtrltt!!tls
<br />Aml'\ rq 16 Si!n.ru,q\
<br />,.d,ntr(run.F,n,, 0+trnft Drrr< 0.
<br />t,(dn,d! rtrhirl( i\ rh ( otriN
<br />'^" z/go rti*
<br />Appliances
<br />Melal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Deteclors lnstalled
<br />Rough Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Ranoe
<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.loltllu -5t)
<br />Final Test '\)r L,.-
<br />Meter Release r\
<br />FINAL ,n\-70 ).II{JY,I
<br />Notes, Remarks, Etc
<br />APPROVALS
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