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MECHANICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG,
<br />Appliances
<br />Metal Fire Place
<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 />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 />i,ry*wyl<rzl pltt 1 )9/Rough Mech.
<br />Final Test (Jlle
<br />Meter Release I
<br />FINAL -7/8//4 -I
<br />Notes, Remarks, Etc.^rJ
<br />olvNlil{ BUII,DER ltELCARA',ll()N
<br />I hcrc\ rllir r xndcr ncndlv oI p.riury rhar I m crrir/ fn,nr ihc Conr&rlN l-ic.nr. t-rs nv rhc iollo*i!8 rcr$n {Sc.70ll 5
<br />IlFinc\s rfrl frnc$i'n Codd: Aiy Ciry or Coutrty *hi.h rcqun \ I Nhnir ro co.nn'cr- ,lrcr. nnPmt dctrlrlilh 'tr (F'n
<br />'nv
<br />r) rh. I[,visi, r\ ol rtu Conrrncd-{ t-iccn\.d t.nq' lChrprcr 9. c.nnRic rg \rrI S.(il'n 7(xx) or l)'vi\tr,t .1 .i rhc llu\inc$ rnd
<br />Itolc\rbn\ Coic) or rhtrr hc or shc iscxcrlnr rhcrclDm!rt rlt brsi\ turrhc dllcscd c\cnrfi(,n nyvnnrnrolSc(rionTlr'll5hv,nv
<br />xtpli.dtrr tur r lrnnn suhjL{l\rhc rtplicJntbIc itp.nrlryofnur Nr.rhrn fit hu drtdd.llrN(15(x))
<br />-1,
<br />!r oBB ol$c pmFdy. or my cmlloye\ *ilfi wascr I rhcn $E slnPc"srior sill do rlE wo* 3,n ltf ntule n rcl
<br />inrc,kkrl or onLr.d fi, $lc (SN.?C!4. B!\itrss lnd Ptofcsions Codc The Conrerofc Lrcnsc L!{ doLs n.l tplly ro cn osncr of
<br />thc Fnncny wl$ bildq or i.pmrs tlEmn. lxl who drs such elr hins.ll or hctslf ot thmlsh hk or hc. own cmPloyecs,
<br />lnrvid.d lh.! such inlrov.mnrs !E Nl inrend.i .r ollcfd for sh Il ho*.ti rrt hoilding or inFmtmnl is sld wnhin unc Fr
<br />of corpbrk,n, lhc Owmr Britlcr will hlw rte bod.n ot ln*in! thd lE or shc dil ml ltuild or inpn'w lnc pmrcny tn rh. Px4ss or
<br />L rsrwftr offic I'n)p.ny. !ncrclxrivclyconrtdi,rS wilh coor,&rorrosns d rhc pn'Fr (Scc.7044. Busims
<br />ano*ncrofnmpcnyeho huildr or inl,)rcts rhcrco..ad Pmf.isi.n C.d.: Thc Conlra.iols Liccnse Ldw docs .or ,mly
<br />and pno conlEcts for .Bh l,oixrs *irn tr Conltrlo(s) li.cnsd r. rh. C.ntrtor's t-ic...c ljw)
<br />l.ncxcmtl undclscclioo-. B &
<br />I hcrcb, arrn u.dcr p.nrlty of psjury om or rh. rollowin! d.Yhmt
<br />I hovc lnd will Ninrain o Ccnii.arc olconsenr ro Sclilnsurc lnr convEnel iofl, as rrevided ror bySeion 3?00 oflhc
<br />tab.r C.dc. for $c pgaorrotuc of rhc soll aor whi.h rh. !.rmil is
<br />I h,v. .nd will mintsin wortcB conpcnsalion insuramc. as eqlncd by Scclion 3?0O of llt Llt .r C.dc. for tn Frfomrc ot
<br />$c work for *hich lhis licmit is n{.d. My workss' s'nFniltion inrlttncc cdhr dd Flty rumhd @l
<br />Po[cyNunbei Exlh.i
<br />I ..nify rhar in rh. Frfo,tuftc ol rhc *ork lo. whicn lhis lcrmil is ir$.d. I \hrll rcl .mlloy any P.Mo i. any nmF
<br />n' r\bhcnnnc\rhl.d brhcsolkdrJconlctrsrlbnlxls.lCrlifonnn 08rcc rhor itl sholld ri.o'nc suhFcl lo rhc
<br />workcn compcnsarion pDltk'nr of Selion 3700 of lhc Lahor Cri., I
<br />TVARNING: Flilurc ri' surc *o cc'codn nqrion orcEgc n un lorer ro onin,r p.Mhts .nd
<br />civil nncs rp ro o.c hundrcd thouslnd dolhr (tlm,Om), in ddilion domapes r\ piovided fur rhc
<br />sarion 3076 6frh. Lih, codc. intcrc( md otur'r fe\
<br />".,",\\- )a -t( App,oni:
<br />I hcmhy 0llirD und.r lcnrlrrofpcrjurt rh,r I tun liccnscJ undcr po!ni('n u ChrDrq I (cotnnrncins wirh St.t bn ?UD) ol Divi\i'u :l
<br />ot tlE BllnBs and Prca.ssions Codc. !d oy li...s is in nil fo6 ond
<br />CoNEIA!qMNII'!DINC-{(i.IN!r
<br />I h.rcby rfinn undcr Frulry of pc,jury rh'n rhcB k,.onurucrion lcodiu,!.,ty lnr rhc Frlffromc olrht {ork t'or wnich lhis pcnlil is
<br />isucd (Scc .1097. Civ. C.)
<br />8.EIIICAIiIDDIIABAUAN
<br />lhrcbyrninnuod( prialry ol p.rjDry om.fthc lollosins d.(l*drid'sl
<br />Dcnslirion PernrirsArtEnos Norilicarnrn Fcdcdl RcSxhrnns (Tirlc 4lr- P!n6)
<br />-Rcquircd
<br />l.crrs of Norifuriotr
<br />_l ccniry th,r rhc f.ds! I rc8! hr ions
<br />-l
<br />ccdityrhrr I h.ve r.od rhh alrlicolion rhar rhe,h,ve idlomBriotr iscotrccr.I 38m rommplt wiln aI Ciry and Cotr.ry
<br />ordinonccs 8nd Sl!t. tisitlaling r.rrcsnhrncs olrhi! Ciry nnd countylo cnrs uFrn thc
<br />Apfliclnl or As.m SiBnrrurcl l\-2<Pnmilrc nuE (Irinr)r-
<br />a.^\8
<br />I
<br />D
<br />COMMENTS
<br />Above T-Bar
<br />th-?r,
<br />*", \\ -2T- t6 **.
<br />|bnh*ilh conoly wirhrhoc pmvhiotrs.
<br />sb.sros (mvd m nor .rDlc.hlc b thi, pnidl.
<br />o$vc nrnlioncJ nx,Fny lnr
<br />I
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