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MECHANICAL.INSPECTOR RECORD
<br />COMMENTSDATEID/SIG.APPROVALS
<br />Appliances
<br />I\/etal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />I\ilisc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rouqh Ductwork
<br />Venls
<br />Toilet Room / Clothes Dryer
<br />Residential Range
<br />Other
<br />Tvpe 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 L-t\-tq Dcz-.7
<br />Notes, Remarks, Etc
<br />{)\!NER BUII,DI,:I{ DIiI,('ARA'I'I0N
<br />I)rrr
<br />UOStrEIIE.CQMTDNIAIIAN
<br />IIECLAMII}N
<br />I hcrct, afl_rnn untldi pcMlry of pr.Jlrr.nc or r1[ lollos ins d(l rtio s
<br />I hrvc ud *ill tuinrah ( C.n iric,rc of Co.enl ro Scli ,n\nrc l'tJr $otksr ..'nFn$rnrn. N pn'vidcd lit l'y sc'rn lrlx)olihc
<br />tjh.rcl'dc. lorrh.loroflNrccof rnc$(trk ror whtrhrhc !.rnin i\ i\\ucd
<br />-lhrv.dndwilltrrinhinworkcN.onucn\ari{rnin\xr
<br />r.,!srcqundbySccrinnl?(nolrltLrborCclcldrrhct'slornbn"of
<br />rM work lor which lhn lcrnir is iskd M, $ortcrJ .un{cnnrl ii,n in\ufun.ccnri.ru F,li.v nurnhcr &:
<br />I /a,vo1 <-rJ
<br />,
<br />-I
<br />cerlify lhol in $c p.rformmcollh. work for wnth ltis pcrnn is issucd.l shnllnot.mPlovanv pcren in anyndmr
<br />s !s ro b.om subjcd h lhc wo&6s co.Dcnsalion laws of Califomi!. &.d ,gB $al if I shoutd trco,rc subicr lo tlE
<br />rc ds' com!.Narion pmvision! of Sdhn 3?00 ol lhc L.h6, tu . I slull. lonhwirn olnply qilh rho$ ,ovbiods
<br />WABNING: Faihrc h ecurc vorkcs omli..s,rinn .ov.msc is ,nlrurul. nnd sh!t! subjt{r M cmrlo}!.lo diminal !*'olis and:::YNilYHW
<br />LICEISEIIIONIbCI!}&
<br />DECIA.BAITAN
<br />I hcrhy rflnflrurxlcr pcMlyolFrtuly rh* I an lien*l undcr Prori\n,n.fClR cr9(comnrncitr!wirhSc'rion7UX))olDivistunl
<br />o, rhc Busircsrrnd Pofc\sn)ns Codc. lRl nirlic.isc is ir lirll ircc ilcftcr
<br />/o/lrzt
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<br />l!/tzll con,dc.r-
<br />Lrndcar .{dd,ts:
<br />A.TTL.ICANIIIILABAIIOL
<br />I [n$y llrnrund$,[r ]ryoiB,UUryoicoarhcldl,Ni'rgdc.hrrror\
<br />I)cn$llri,r I'cirnir! \hc{o\ Nor'ncridr l:.dc,rl R.!uhrnN ( l irlc 10. Pxn6r
<br />Rcquirci lxrlcr ol Norilicmidn
<br />I ccnify rhsr rhc lcdcral rcsu br nlns Egnrdi.S lshcslos rcmv,l t,. nol0l'pliclblc r. rhis Pmj€t
<br />I ccnify rhd I har rcud rhir.prlical hn ad {arc rhsr !h sbok info@rion i! coNcr I
<br />ildin! oo,.ru.sr( ,,rl h6.by aurh.'i. mp'!*nrat
<br />''%/.x
<br />ugrm ro omply lirhall Cilyand Co!.ry
<br />ordimnccs md slarc liws rchling ro bu
<br />.hrvc ftnrion d po,'.ny for i.sl.trio.
<br />Pcmitcn@ (printl:-haor L-*
<br />fihis Cnyond Counryro ctrlE qnn lhc
<br />n/r>lYthr. 1"/ '
<br />Hood
<br />Ih.icbyrinn! cr lcmlry rn pcrtury rhnl Iunci.nrlr rionr rhe Conrlscro$ LkcNu lus r rhc lnllosins rcaon (llec?o:ll5
<br />Burnrs ml Pmtcssn cdlc) An! Cily or coudy shich tcqutt\ r lrrnrir lo connfl.i. nlrcr. impror'. dcnnni\h ot rcp3t dn!
<br />nru.rurc. prtub n\ n$trncc.olsotquncsIhclPIli.atrrrir\u.hltrnril h rilca\iercn $rcnt rhtr l'' or shc licun*d trNnnl
<br />t) rlE r$visinr of rh. C(,tr.rors l,iccnscd hu (Chdl,cr 9. Connn. .irg qith ScLrn r 7m0 ol Djeisnrn I ofrhc B!\incs nnJ.
<br />Proacssirn\ Cod.) or rhm h.orshc hcrcnfl lhcrcliorand rhc hr\n nn rhcnllcscd.rcnrrion Anv!i('hrion'iSc'lion70-ll'5hvrnv
<br />appli.rnili,rrFrnrir$hjsrrrh.4llrrtrlloacirilPtnslry.rnornnrcltmfiv.hundrl'ddolltrrs($500)
<br />l.ii o{rcrorrh.tmFny.otryt rltoycc\ sirh *ngcs rhcn \nc .onrpcnsrri(,r' silldo lh. $trk arxt rhc {trrM i( i'r
<br />i cndcd oruflLrcd I'o; eh lSLr 7044. tru\im\\ rhd P]ola*ims (tdr -rhc G)tructn * l-iccn.c Iiu docs or rldv h rtr owitr or
<br />rh.pDrny \l$ hoikkot itnptu\t\ ih.Ntr. d*hod.c.suchw)d.hi'n\.lforhtNcllorrhnlugihisothcrow'rcmpbrcci
<br />p",u rr"a rru .r.h inlPRrtnrnh nrc mr inrcidt{ or .itEd lirt sh ll hos cru. thc hdiklir! or itqnovcEnr i\ $ld wilhil nN Jr
<br />;IcompLri()n, rtr owtr$ Buitler sill hsv. rlf burdcn ot Pmli.E rhd lf, .r $c d r hiu ot n{,revc rlt pRrl.nv tu thc PtrrF't or
<br />-1.
<br />$ o*ncr ot rhc t'nrlEny. arcr.lusntlyconrrrcri',g *irh li.cn\cd.ontrRtrns rJ con(ru.r rh( pr.fccr (SL{ ?0'l1. Btr\in'$
<br />nd lbr.$imCodc:'l lt C.nkrtn s t,iccn\e Lrw 'l(*r ml aDIrly k, an.wncroiPrrP. v *ho nu its or imliltrts lhcrcon'
<br />ud {ho conrr.rsr.r su.hrnjccrseirhrCoNactnls) lic.n\.d Pursuanl l.rtf, Coirtr.rois Liccns. tns)
<br />I rrcxcnlllruid.r Scclio!-, t] &PC forthis rcun)n
<br />^,,"rn,*. lA86L$3 LqJ ,r'.",
<br />t-i*^c cto*r B riccn.c u,.t ,,
<br />SANSIBI]CUANIDNDIIG.AGDNCI,
<br />t hcrcby rifirn undcr lBullyofpcrrutyrh0r rhsc h ! coniro.rio. !trdins lectuv ror rhc rrloren.. oflhc wort nt which lhh pctm n
<br />i$ucn(Sec. 3tr7.Civ c.).
<br />l.nJ., qNatrr:
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