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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <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 />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 t-l <br />FINAL 6N <br />Notes, Remarks, Etc. <br />OWNEf, BtiItr)EN DEIT(' R TION <br />I ha.by lflm lidd ncu]ly ot rglury rh.l I o .r.mpr 6.n rhc (onl,!clor' l,ic.nE lls lor lh. aolklwinc mhn (sd 70ll t <br />B6'n< ad Proldiin ( 6d.) An) ( trt or ( ou'n! shth .qtn6 r Fni lo .!'dBr. .ns. imFo.i. domlii[ oi qE ry <br />3rrucrlre [rh. to ik isudq aLo t.qun6 !fi. lpplicdl for iuch Frni lo 61. r rs..d dcmd <br />'h.' <br />lE or d'. a licdr.d lnetn <br />ro rlE Forirhc ol fi. ( otu&rd ! l,f,.n.n b$ ((lufl- 9. CoMd'na *rh s<!6n 7(x)0 of trririon I otllE BsI6 ed <br />PmfBioE (n{l.) or rhar lt or ltc s .rdpr rhd.&on &d rh. l8n f$ rh. rlLr.d Bdtr ion. an, viohl6n of S(liin 701 I 5 tt, !a} <br />.ppl(.,lr tor. Fnir sbi6l! rh. .p?licor r. r (i!il0.MIiy df e{ ntr.lhr tu. hu'xH &llsr ($fi)) <br />-t. <br />.i ffi oiltr FoFry. or 6y drpb,6 *irn wrA6 6 rrn ih Ndpqsabtl| *iI ib dE*qt -d dE 6!.rG i' 'Elaradd doGldtu rt (Sc.rot{, &!iE td lrefr.iE C.d. flE (odrdo. t Lj(@ tn &6d tply b a orEor <br />th.FoFry wto hritl or i,npro6 tn66,! ,!d who dB ui s,l hi@..lt6r fi@lror lnEuth hi! or ha o*n @phyB. <br />FviLdrtd Et nlFoEE.rcd nddotu 6.-l. ltlblrt€.rbh dngabFo@i a-ldsili!@ rc <br />of6telai,!. dE o\rG hildn rO hE ttE hrda of Fori g $r lE 6 dE dn rot hlld d itrgDE d! FlFq fo. dE Flpc of <br />l r\!\ dor1]tt,'.1\rh.x,.\rlLAnclr!otr,rrn'(!rhl..n\.Lt(or'Jrk!!r,(.rn'udrh.rr.r..rlstr rlrr.lr!^t\\ <br />.,Rl l\rli\ (.r1. lhr( nr'r.rn' ' l (.a!( 1 .tr\ . ,ltar!\hfru'ln\ ' n|lr\!1rlr.'Nn <br />,nl rh. nn ',(r\l,trstrhtr,!(1\tr h.t(rnhr.h,lr)'..ni.(tfnrsrrrrorl'.(.ni'r!r,trilktn\.1.tr\) <br />-l <br />d.rdpr urd< Sdr <br />D.rc ()f,r6 <br />.!!3[rBt]1l]IllL$,ulluutg.l&utar <br />I ho.l\ alli,n trn\ld Frilr\ oitErr[ or. olrlE Lll(N rr n.\lJark'N <br />-l <br />te .d will oi'r.it t cqri6ii. otcorn lo Sdf-l,EE fa etd cdrg@.rid\ . ForiLd 6r b, stlid l?0o of $. <br />t lor Cod.. tu th. Ffom.tr of lh. srt f *nth ln Fnh i! i@.d <br />Itft.dwill inr.in wqts. r.nFldion iuffi( . rqur.d b! s61ioi.1700 oiih.l,!or (od.. for $. Ffqllec of <br />-l <br />.dify rha nt rhc Ff('tltl.G oirlE worl 16 wfitn {lb Frn it is.{ I Jdl d oqlo, &y Fetr in a, M <br />s ! ro b@G iubjdr ro rh. wrt6'.oiFstrhn Lk of cdifotui.. ed.8c th.r irl nFuld bco@ ubjer lo tlt <br />mrto' orF.E iE Fblirbd of Sdli'! l?m ofdt L&. Cod., l d.ll, fdh,nh oEly wib lhoi FDriia. <br />\x^f,lllNc: frirc ro EE wi6 oqdli.r ors.8. ir BLrtuL .d trdl rbixr - or?loF lo siii'.1FrrE d <br />civil fin6 up lo on. huflH llFlldd &llE! (tlm.ooo). in lddnnn lo lh. cor of conpcG.lioa d.nn86 a Fvid.d Lr ll! <br />sclioa 1076 ofrtc Ltd Cod.. nEa -d.ltdrr'r i6 <br />11-?3 - LO <br />UCIISE.CqUIXACIQI <br />DECI'8AIIO! <br />I hn!!y lrEm ur& FrXy of Fjurydt I h li<-!.d urrr Frtid ololrF.9 (@,rllftil{ $'nh S.dbn 7000) otDritiot 1 <br />or dE AoiE rd Pre&<E Code .rj Ey ltoq ir n tull ford dd.tttr <br />/, -2 /) <br />-" 12-1,3-2b <br />colslaugl&!.tllDatucElcr <br />I lEltly rlfm uid.r Fdry of Fjury rhn thd. i!. or!tu<lrn lcdile.ge, fu th. Ffolm. of lh. tr ,1 h. "tth rh.IEnir ir <br />k!.i (Sd roe'r, (-iv. ( ) <br />ATIIIIAdLIIIIdSAIII}! <br />I hsdt rtrm uqls Faltr ol FluD oE ol th. folld*ins rk&airN: <br />Dmohion Pdhnt-tubdos Ndificarion ltddll R.8uht ionu (Tillc 40, r'dn6l <br />-&qur.d <br />lnlg of Noiftnirr <br />-l <br />cdit dr tl.. tcdd.l quldia Egrdini abd6 iftvd .. @r +tli..bl lo Ob FoFl. <br />-l <br />odiry !r I I'nqad lhir Sli:rh.d ar. thr dE &ow hlomlrhn ir Mti. I t E lo .mply *ii !I Cty &d Couny <br />ddiea !d Sl!l. bB ildin8 ro brildilt8 .ointu !io'! !d hatt,y .dlDrn! EF.lanriv6 oflltii Cn, .d Cludy lo @rq lpoi Ut <br />!bov. rErirncd FDFry tu <br />Al)|lL.ui.r A!.nr sr!nrrtr,r <br />1,, (r't fo,J <br />,,,,. l2-?,3 -7 6 <br />,IWIfV:IV,ZTT <br />IMetal Fire Place <br />tu <br />f------r----- <br />=