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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evap 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 />tit \t \&o \/Fire Damper I <br />Openings <br />lnitallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech.{ <br />Final Test <br />Meter Release <br />FINAL 2J/.le <br />Owrd-Buildd Ddl.dtion <br />I t r.by sfirm urdd p.mlty of r..juy lhll I rm q.mpl form lh. ContE.lou Lic..!. L.w for !,. lollo*i.B Eon,Ge 703 1 .5 &Bin6t <br />md Pofsiio, Cod.)i Ary Chy or Counly wti.h rcquiE . p.mir ro ostocl. .!tc. imp.o!.. d@liln o. rcp.i. my ,rtoou., prior roils <br />aru!nc.. tlo rcquir6 rh! .ppliqni for ruch pe6ir ro flc ! li8n d !r @ rhrt h. or rh. i! lic@d p6u.t to rhc povjlioN ofthc- <br />Conlncrol! L,Gr*d Lr* (Chrps 9, Cooi.tuins enh Sdion 7000 ofDivirion 3 ofrh. B$in6. lod Prof€.ioB Cod.) or Inlr h. or <br />rh. it.x@pr thd.nln.Id lh.bcir aor lh. llLt.d cxcmprion.A.y viohion olS.ciion 7031.5 by Dy lpplio lor ! p.mil rubj.cii thc <br />lgpliom lo r civil p.6!y ol nor nor. lhrn fir. hund.d dolla (t500). <br />_l, a owncr of rh. pDp.ny. or ny .nployr6 wiri sasd !s th.t roL conp.Ndion. will do rh. work ad rhc smcrur. L nol intad.d <br />oi of.r.d loi el. ( scc 7044, BB,n6s lnd Prof.esio.r Cod. Th. Conrldor ! Li*nF L.w do6 nor lpply ro ., omd ol rh! ,op.rty <br />*ho buil<& or impo!6 rh.@.. Md who do6.eh work hin!.lforh*lf or rhroush hi! or ho o*!.oplor.6. prcvidcd rh.r such <br />nnprcv.mots .E mt in!.nd.d or oft6.d for sh. Ir. ho*.\d. rh. buildina or impro!.mcnr is sold s irhin oqc.r of compldion. th. <br />ow.q.Boildrwill hrr.ln. blrdcn orprovi,! rhir h.orst nor b{ild or impDr. for lh. purpo5.oleh). <br />_1. a owo.r of th. propcny, !n .xclusiv.ly .onlmclin8 sirh lic.B.d conlE roE ro coBtruct rh. proj.cr ( S.c. 7044. BGin6s ud <br />Profs'on Cod. In. Conradol! LiccM L!* do.s mr lpply to d osn.r ofp&p.ny who build3 or ioprov6lh.r6n . and q,ho <br />.onr..k for.uch D,oJeB wnt. Co.r6do(J) licm*d pu.tu.nr io th. Cont.doi! L.c..* hw ) <br />_l m .xmpl und.r Sdtion <br />-8. <br />& P.C. for lhi raon. <br />D.rc _ _ osM <br />MB6EASiO!!IEX!A!!.q[DEc! B{r,Io! <br />I hercby amrn und.r p€nally oipdjury onc oflh. aollovin8 d.clrr.tions <br />! hrv. !.d Nill mio$i. a C.niliot. oa Coe to Sclf'lmur. aor mll.R cotrrp.MlFl! s p,ovd.dforbySdrio.1700oflh. <br />L.bor Codc. for thc p.rfomocc ot lh. *o* for which llE p.rmil is irsu.d <br />I h.v. .nd will m.inl.in s .R @mp.Mlion insur.nc., s r.qun.n by S.clDn ,r00 ol rh. Libor Codc for lh. Fformnc. oflh. <br />wo for wh'ch thn p.rn't ir usu.d My work.B @mFn$16. 'EUde 6rs .nd ,olicy nMbd e:f >', caP f <br />Poli.yNuEb6: '_ErpiE : __-.L <br />(Thn *crion ...d nol bc conpl.t.d itln. p.mn ir for Onc hundEd dollm lll00) or h$) <br />I c.nifr Onr in rh. pnaonnm.. orth. work for whkh rhir pcmil is i$ucd,I shdl nol.mploy u, p.6on in lny lnmn.r!o a lo <br />b.cro. subrd ro rh. mrk.ts @npcnerion hws oacrl,lorna, rnd.sreth,r l3hould b6cdne !!br*t b rhc *orI.B <br />ion provGions ofS.cli.n l7O0oalh. tabor Cod..l sh0 ll. fon llvnh corD\ $ ir h rhoir:.iror rio@.il/,.L^Z /,/a"r....*r",n,, 7r <br />WARNINC Failur. lo seur. wo cR @Ep.Ntion .ov.r.s. rt unLwlul. .nd sll.ll .ubJel .. .nDloy.r 10 crimiul FMh'6 .nd civrl <br />fin6 up ro otu nundcd rhoBsd dolla (S 100.000).in .ddirion ro rh..6r ol.oftpcMtion. da6e.! a povid.d for rh. Sfttion 1076 of <br />thc tlbor Code. int.rat.nd anor..y s f*s. <br />ucErsllcoxrB4craBstsEc!4B <br />I hcrby afiim undd p.tuhyolp.rjury lhll I am lic.nscd und.. povision ofClupld9(onn.nci.s sith S.clion 7000) oaDiviion I of <br />rh. Busin.ss.nd Pma6sions Cod.. and mylic.ns. t in tull forc. and.ftd <br />A Z <br />/zt,l t'-r <br />(9BSrA!1-CUr3-L4prNCAiBCr <br />I hs.by ammr lndq p.nrh y of p.rjury rhai lhc.. is a connruction l.nditrs u.ncy for rtc p.rt m&c. orth. work forshich rhis p.rmn is <br />issutd (S.c 1097. Civ. C.) <br />Lrnda'3 Addr*: _ <br />AEUCANEEDESIAA4IA! <br />D.molirion Pmir$&betoi Notilicirioo Fcd@l R.suhtiotu (Tirlc40, Pln 6) <br />R.q!ir.d tald ol Nolifi..lbn <br />I c.nify rnlt fi. fcdcrrl r.suldioB r.r&dins cbdlos r.dovll e nol applicibl. to lni! proj*r <br />14 c.nia, thd I fisv. r.sd this application and sllrc rnat rh. aborc intom.lion is corccr. , acr.ro.ohrly wnh lll City a.d Counly <br />ordio.ncB .nd sr!r. t wsr.lltin8 u oflhi!City rnd County to.nla upoo lh. <br />MlWP5l\Permil,l.speclion 106 <br />ohov. mcntioftd prop.ny for <br />P.mirc. @n. (prio0: X 2-2 A <br />- o/,"/zztt <br />f------T------