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MECHANICAL-INSPECTOR RECORD <br />APPHOVALS DATE ID/SIG.oWNEf, BtIII,DEN DH,CAI TIT)N <br />I h.Rh, dlli lndfl ,'(nulry of Dcrlury rt[r I dn ct.rnfl fn'm lh. G,nthloA' Lftnc ljtr fn rhc n'll'rint rrh. (S.1 70J1 5 <br />Bu\ircs\ ml [Sofc\*,n (i tr Any ( iry or (i[d]_ sh'.h r.+ndr . Frm{ ro t.trslrurr. trli(, nhJ'n)v., .hn$lilhin .q[ir iny <br />{k*r!r. ln, k, [r trlolrc- !l{] rcqun( ih. !t pla2rr 1,, {f,h IEtrtor lo tilr ! rilRn derc.r rh.r lE or d. r li...\d l{Ndnr <br />to thc Forninr ol rlr (',rtr&kr\ l-rtn(n lrs rchryd o. (..,nnrtu! *nh Scrin Tlrx) ol Dirtrr,n r olllt Bu\irs mr <br />PNf${.nt (irL ) .r rhrr lr rr \h. r cr.nDr lhd.frcm ! lrr h!'ir for rlr rlkS.rl .r.n{rx,n A.! !{Ilntin ofSoiDn ?O.rl tlr!nny <br />smlrrnr (, i Fmi uhrltk rk apll'.strr h ! .n il lt nrlry uf mr mrc rhln ir. hundr.d dollrr (i5tx,r <br />-1. <br />B orE ofrh. FoFry. m Ey .nlb)a. tth *.ad & dE! DL org. lin *iI .1, dt 8t Ed rl! larsE a El <br />ie'd q olH ld -l. (S6.7Oa4, BuiE !.d Protsbd Co& TIE C.ttBio.t Li{* Lr dd |br 4d, b s orE ol <br />tt r.nFry rlE tr lt r iqlEdEwt rd dn.tG ldr Et nLErd ndrr, rlrwai nl t nd om.45rE1 <br />p.ovir.d lh r ch intFwrt e tEl icllld dolH 6. r.E lf. nltG. dE t.i5it a i+.D!.cr inErlbG lr <br />of drplrln dr Osc Boilb dn llE dE h,rl,' of FoV,! 0. lE d lE di bl bi|d d lqro* iE FlFly lhr dr toF. of <br />-1. <br />s l,lG of {r FoFrr. m .kr6lEtt elrtrtit rit E qEd orEld ro @intEr ft Foi:, (sd. nxa. &!iE <br />.,i h!&,irc.de Tt Co.-id'.Laci.trr.bqmlrPlrro-@EolFlFlyrhoboildtdIq.oEOarl. <br />!d wlb @*8, tor sn Flxrr r{! . cofiuoi., lhacd Flrlsl !o lh. &rrt*lo.! tj.qE l,*). <br />;:.4+nfidry,Ir>o <br />Il.lrt&u!: <br />I h.Ehy sninn undcr n nrlry ol F,p,y ot or rlf, rollof,mS dftlur.ri.ns <br />-t <br />h.s..dsill rt rb.c. ifrrr. of colDr b s.ll.lm fo. wtm oit tErb^ ! FviLd fDr b, S..rio! l,m ol dt <br />Lrbd C.n .6.rlr FfllltlE of rlE Ei fd c,bth llE Fnt i isrn. <br />rh. {.'l htr rh'.hrl,a rnri r\ ilurl Al! troIk.^ ..n,F1n.'rrr, trtro,rtr.( r N rnJ lin'.y trtrnrh$ dt <br />{, r\ rt h.(tr,r \uh.r n) r1r tr,{lc^ .' l'trINiU, hr.., ( .(l'r,tr 'r rtrlr[r( rh]r il l .ht'l(lti.ont \$r. r r, rlt <br />r L.. 1.{nlttrsrrrrr*rtr'..olSc(ri 'rrrrr(nrhaltrhr(itlr.lnlll i rlrrirh.,nfl\ u'rIrh)ttlrritrtr <br />WAnNING: hilnE r. gG wlm orvs{bn st[& i. mtrtul" rn ndl bFl e dlill,F !o srnird Folir.id <br />.Ml itmr !f ro od londEd rhoun n dolld (lloo,ooo),In tddirirr,to ltE or.f mtr+.urilh. &ma{ s F!,n.d ftrlh. <br />sdn. l!0?6 0l dE t-6. coda hr.d rld trolB.l f*r a \ <br />;;, , aFil ; ^*^"u-Alfohh Agd'rtgu(? <br />' ulI0sED.gINIlAqul <br />DES4BATSN <br />I l4b, rlth6 ui&. Fndt, ol t"riu.y ltu t - lit"t a ,,,a.t p""i.i. or Chrrd 9 (@.lrmiir tin sciti,t Tdlo) oairhiri.n l <br />ot i. B6i6 rn PDETiB Crn,.n nt litc ar h tull lor.n.fi..r <br />li,rn N, f'l\, <br />l0Nilaxqlllxi-LEDlNli-aliEdql <br />t h.Ehy rlfirnundcr Fulr,olFriutyrh{ r,E k r conrdd-,. Lidi.8 r!.ky fm fi. FrfdllrG ofrlt ktrl f wttfilhit lErnt ir <br />tr$cd rSc. 1lrlr7. (-rr ( ) <br />t flla r /r4lE' <br />- <br />AE.II;IIIIDECIISAITA <br />I hddry riftn lndo pcnrlry ot Firy oft ot lli lollowina &.Lt rior!: <br />D.mllbn llrnie^rh.trd Nortsrbi Es.l R.!!Lthd (Trh 1lo, P.n6, <br />-iLqlid <br />L,rr6 o, tlorirrrh. <br />l(.'r'lJ-rr',irl'cnrtr,,L'rrtrlnn,f.rtr',ltr'gr(ri,^'.r^trrrctrlr 'tt,ln.LNr r, rhF t[,r-Lr <br />rl y rhI I h.vc r.,J rhn rplli.rri($ (rl {drc rhnl rlE !tr(. mnndrrn N ( nd l lSR t, (nttrly *dh .ll ( ir y rnd Counry <br />!n 9& t,n Ehit ro hriBiB otrr,rrha .,n lldtb, <br />rrbr cmbEj p,!Fn, <br /> tplrr or /\NrtrrS'g rnnr <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 />Rouqh 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 />Openinqs <br />lnstallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rouqh Mech. <br />Final Test <br />Meter Release <br />FINAL l^tt-2t (L Ltc J21to2 vLrl <br />COMMENTS <br />*.r--*,*op{arz- <br />qa*. <br />T <br />Metal Fire Place <br />Notes, Remarks, Etc. <br />->