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APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />tvlisc. E quipment <br />Duct Work <br />Pre-lnsulation <br />Insulation <br />Smoke Detectors lnslalled <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 />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 6u9' <br />Notes, Remarks , Etc.\l <br />OWNF,R BUIT,DT]R DT:II'ARA ION <br />I hd.by .firm uld6 pollty of Fju.y lld I M .r.np' fNn rn ( onl,rc!o.! l-'..ic l,w ,rtr th. fdk'siit r.t$n {s( 7011.t <br />t]$ir6s rnd Proaenn CdL), A.y Ciry or (i,unty *hEh ,qun6 n Fmi r. $tr{tud. ahd, inpror., damlith o qrt My <br />slruclu.. pmr lo ils ku c.. !t r.qutB lh. 49li(el ln 3!.h Fnnil n' lilc 5 .'sncd ndorol rhlt lE or .lE ! I(6a.d pu,utd <br />ro rh. FolirioB ofth. conrrrtoir t,iensd ks (-hafl( ,). (i,mm$in! $irh s(rion ?(tD of Div'rnrn ! olrh( Es'.a ed <br />Profsions Cod.)orfid h. orsh. is dmp{ thsclrom d rh. bc! lor rh. .ll.*.d .lmFnn AnyrNLnonofs<<ri.7011ttr.n} <br />apflt-l ior a Fn it sbj.ds lh. .pglicsnl lo . ci\ il p.Eli! ol mr mE th.n fi\ . h!nd,.d d.lls! I lJ00) <br />_t. a ol,G of rt Fopalr. r 6y lqlor6 wih *S6 ! thir eL 6nF!.io.'. wi! 6 lh. rdt -d llE iidc i mr <br />idad d oftld ror sL (Se?0a4. eri6 @d PrDftltil6 Co&. IE conndai li!. lry &€ 6r tgly ro - olc of <br />lllcFoFry wlE hdrr c iryD6 rEE( -d wto d6 rt w* nnnelf or h6*lf o. rholal hi. 6,E.m dprotq <br />Fovir.drbd *h ilFolgdt c Et arad.d 6 otra.d 6r -t l( lb*!q. rt hlattrdiryodEr!-!wililc)d <br />ofGpldixr dEOeG A,ilb wi! LE tlE hr{d ofFovit Or n dftdd er hild6 tryoE,E FlF 6.drFtF..of <br />-1. <br />ao*coftt F.Fry. eqdoiErolrrdn! dh li.6.d.oetlmlo odBr $. Fliar (5e ,04. AnE <br />!d hlkir Co<b lhc Co'E ad . Lk6. l- w d6 Dr aly ro , o*E of FFiy who !ciL! d idF!€ (Eo.. <br />.rd *lb 6eB f, st pl!j<l, vi6. Cod-rdlr lid F rdrot codr.dd'r l.i6E l^) <br />!!!a[tallgl!l[]:,:!u&r <br />l)l;(l.dAAITAT <br />I ha*,,.fmun& F.n ofFr'!,oBoflll folbf,o8 d.ddibE: <br />-l <br />t 6 -d*iu drid.i!. Cdiftr. ofc.c ro Sd6ldr 6. std oEFsi.a r Fvi(ti f.. b, s.6b.llD oftL <br />lno. Cod., n lt. D6frr@ of tt Et &. *tii dE Dari i hr.d. <br />_l lsE ed will oid.in rul6 @ryriE iElde B llquid bysdrir !7@ ofdE ll.r Cod., tur rlt F6.lEt of <br />rlE wt fti rtib l[ir Foir b ii.n M, rqtd' 6|srrbr iaff did .n tofy anhd c <br />-l <br />qri9 U. i! {E Fb.uc of O. sn h. $lti Uil FEi b iE( I ftll @r dpb, lly Fs i! .r, ffi <br />- r ro t@@ '{irr ro rb 6t.J 6l4.!riE Ls of c.li&d'r. .n tl- rbr if I dHld tc.c abicr io dE <br />snd'6,4@lbnFoviiEofs<dnl7oooldrlrtdcod.la.ll&dh,th6!slysittOrFlviriE.. <br />6 oLf,tul. ! rlEll $bj<r D crploF lo airrul Fulir rn <br />civil 6i6 u! ro oG tudEd ,'ouran .btr: (ll@.0@ d.Erd 6 F!!(Ld tor E <br />SBrio.1076 of E trt!. C6de i qd.d.nd*y r <br />L <br />[lclJlAllq! <br />orrb Fovi'bn of Ct4rq 9 t@,ltllEua vnh ScliE 7000) of Dnbb. I <br />of llE B6iEs ud Pmr6ioB Cod.. d ny lico* ir in tuU foE dd cfld <br />I <br />L <br />I lE by .ltm bdd Fn lry oaFjr.y rh.l rhs. t i <br />i!ru.<l (Sc. 1097, Civ C.). <br />Lndin! rgtry for ltc Ffotrrffi. of lh. eorl tJ. whth thn Fri i! <br />AfIIIC/ANLDECIAIAIIO! <br />I hdrby lfrm !id6 p6.X, of pqjury oE ol lh. following d..b.riour <br />D.Dolirb. PmileAlh.dor tlorificaion F.d.rrl Rcgul,rioN (_IirL 40. P!n6) <br />-R.quiEd <br />L.n6 of Nodfi.ebn <br />-l <br />cdiry lhn $. H6.l r.s dioB Esadiry dtElor l!B\d e mr ippl.lbl. ro rhi. t6j{xr <br />-l <br />r6li8 thd I ha. rad llir .ppl <br />odi,e6 ed S(d. r.*i clrEe ro <br />icalion &d sr clhdlhc!bor.infon dNnB.otr.d I n8rct, Nmnl} s h dll(-ir!.nd (i'unq <br />r.Fenri6 of thit Cny .nd Courny ro .da l4or dE <br />!bor. ,Erio..d pmFny for <br />Atflicol @ Agdr sisoru.:1:t+ <br />MECHANICAL.INSPECTOR RECORD <br />III <br />II <br />talI'NI <br />ililgrDtI <br />IFB: <br />- <br />I hdlby .faiD un& poalty of Fiury rhd I @ <br />lL , 4^ --J