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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS o!!NIiR BUI LDIJR Dl]l,CARATX)N
<br />I lrr.hl uillnn u cr rEnrlry (n lrcrjdry rhnr I nrn cxcnr h lhc Conkr{ttri Li.ctr* Lls lnr rhc loll,,q r! rcisn lscc.7o.ll5
<br />ausnrs\ rtr(l Pnnc$ion C{xld: Aiy C y or C.unry whi.h r.qunr\ r Fn ir r) con{rucr. xlrtr. nnflovc. tumlth oI r.Pd rny
<br />(ru.rurc. Itri(trr, irs *{rurcc. sl\o rquirc\ rhc rPlicrnr 1,tr nr.h linnirkr rik! siSnrd ndcfictrr rhtr hcor \h. n li.$\L{ pu. n
<br />kr rhc lnovi\hn\ ol il'c Coit(tr's t.i.cn{n lrs (Chrnrtr , Qnrncnciil wirh Seclnrn TrXn or Dirr\nr ] olrhc Busi'[\r rid
<br />Pmlr\\ion\Codc)orrhrt l*or\hc i\crcnDr lhcrcfrtnnftt rhcbn\is,btihc rllcsrdcrcnfln,n ny vi,rlrrion.fSeri( 70:ll5hvdnv
<br />rpplicanihrxpcnDn\ubjccr\lh.rrpli.anrt,r.nrlP.rlrroinornucrtunfilchutrdrcdd.llln(S5l[))
<br />*1. ur o*ns of rhr l,n,ltny. or nry cnlrloy$\ *irh sl8cs $ rhcir ulc onnpci\ n,n. slll do thc *orl ml rhcndrm is Dor
<br />iircfrLt or.flcrcd l'or srlc rSN ?0t4. Busiftr\nnd Prolt\\ion\ Co(lr'r[cOn r!.roist-icctrtt]wdoc{noriPptvroonotrnc.of
<br />rhc pmpdy who hoild{ or irDr.vc\ rhcN,n. trM wlr d@\ fl.h w)rk hnn*llor hcrcllor rhrou[h his or icr osn tnfkrvccs.
<br />Fr.vidc rhsl \!ch inpRr$r.rJrrcnor hbndcd rofltad lareL llk,trcYtr-rh(l iklirBor iflrl)toitrmor i\ {rld *irhin'R ytrr
<br />or co {,hridr, rh. owNr ,JuilLr *ill h,vc rM hunJLD oi pn,viry Ilu[ hc ot lhc did rr huild or iry]mrc $c rn,Fiy for
<br />'lL
<br />puryr's of
<br />l.rsoNncroflhcprcp.ny,urcr.lxsivcly(otrl.iclin8*irilt.n\cd.onrmcr.r\bconnru.rrh.projcd(Sc.?o&r.Bu(ilr{
<br />and PDfs\in Cod.: 'rhc Contr!.loi\ l,ictn\c Lr* d.cs nor rl,t'ly ro !n own.t.fnrc|f,rry wh,) h!ilds or inFtF$ecolq
<br />conrmcrs tu ru.h lojccls wirh ! Conlmcrorls) liccnscd Pu^u.r to ln Con!6.roas Lic.n* L,v).
<br />DXtLtr&\I.lOn
<br />I krch, rinh undcr !.n,lry of rcrju.y ot orrh. rDlbwir-! d.tltrrrn'nr
<br />IhrvcfliwillaEi ain a ccnifktrrc .r Cotrrnl k, Sclll tr!trc ti,r Qorlcn comFnsalion. I Povidq, lor hv Sccrion l?(x) of rhc
<br />litxr C.d.. for rth- Erl'onn!.cc olrhe work tur whi.h rh. Fnnil is h\!.d
<br />I h0vc rnd will mainiain woacrs conrpcnsaliq iNurxn.c,,( rcqutcd hy Sccrn,n.1700 ofrhc hhorG)dc. rd rhc lcrloirune or
<br />rhc wort hr shich lhi\ pcnnn Ls Gtrd Nl y uorkcn conFnur n,r i.sunNc crd.r and Polic, numbcr 6cl
<br />-l.cnify
<br />lh0r i.lhc perforru(c 6rlhc wor* r.r whhtrhis t'cmir is Lcrkd, ! shlll nol cdlloy lny lEr$n in any nrnftr
<br />w !s lo tEcoft iulrjer lo thc Rorlc6'conltisrion lsws ofcdifomi{. Md lsrc lhar ifl stould tEonE slbitl ro ilE
<br />eortc6' comDcrsr io. pevisi.ns of Scc on 3700 of lhc tfer C.<tc. I slull. fonhwilh oqny wnh lho{T6'vr:;;a(:_- _
<br />WARNINC: Failu.c io w!rc rortcn' $mpcnsarion .ovcto8c is unhsful, Md ihall slbj.ct an emPlor$ o dimiml IEn![!\,
<br />nsotion- daorgcs as tmvincd lor rhern.. htrn,lii\l rhutrsJkt nollJr\ rSl(X)irion nr 'hc
<br />.on or.o'npc
<br />odc. inlercn md luordy s
<br />DIIIL 8trrlox
<br />ol rhe llu\itu\s , i Pi(n\nnns ('n1.. rftln,t li.r \c is rullnr.cr .lt.l
<br />c(lNslRl-c rIoN I FNI)IN(; A(;llNCY
<br />n\ucd iscc :1097. ciu c r.
<br />_lccailrrh0i I luvcrcrdrhisaptlicurionud(arerhBrrhc.bovcin r.I agN rocoflrplywirh rllCiryand G)unr,
<br />oiliM.ccs Md Srsrc La*s relaring ro
<br />!bov. nf, trri(rtrd tnlrny lor
<br />apDlicrnr or lr rSignrnrc
<br />Pcrnrilcc nrnr (prinl):
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Ivlisc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rouqh Ductwork
<br />A
<br />Toilet Room / Clothes Dryer 2-14-,1 X\$t)
<br />Residential Ranqe \J
<br />Other
<br />Type I Hood
<br />Tvpe ll Hood
<br />Grease Duct
<br />Fire Damper
<br />Openinqs
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />.^/1,\
<br />Rouqh Mech.h,w4
<br />Final Test
<br />Meter Release
<br />FINAL zs)
<br />Notes, Remarks, Etc.I o II
<br />ID/SIG.
<br />Lien\c Class:-Ltcns Numhr:
<br />-_=_-
<br />GDdcls Addrcs APPnr:AnintatAlarrcN
<br />I h.Eht !Iim! unl.r lxnr[y of pc,ju,y o.c orlhc lolbsin8 deldr{lio.s:
<br />D. rnnion Pc.nils.Ash€slos Norifi.,rion Fcdcrul Rc8uhl ions 1Tn b .{}, Pd6)
<br />-Rstuncd
<br />kn.r or Nori,icotion
<br />-t
<br />enirrrhd rhc fcncrll rcruhtions rcg,rdin8 $h.sos rc.ovol urc nor amlic$lc ro lhis nrcrccr.
<br />Vents
<br />Hood
<br />Above T-Bar
<br />l^i-"1-17
<br />ilt-elu fr
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