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MECHANICAL.INSPECTOR RECORO
<br />DATE COMMENTS OWNER BUIT,D[R DEI,C RATION
<br />I h.rcby ltftrm und.r Ffrhy Ir lErlllry thd I m .rcnfl l.,m thc (iflurm Latn< bq Lr rlE lolk'*h! E!'qn (Ss 70ll 5
<br />Bulim( .rd P.olcs.i'n (in ) An, (1r, or C,{dy }hrh ErtuiF\ r Fmn r, conrlMr. rlls. itrqvorr. &ftnirh or ..rr t my
<br />dtu.rr.- Fitr t, it\ nsudk!. !tq, rcqunc\ !n. ulplksn! ntr \u.h Fmnr u lik ' 1i8td \id.mn h.r h. or iE it ltcn{d p{^t,,
<br />b rrr pn,vsoni ul r G'.lrNl r LNnsd l.s l(-lBfls 9. A,nftkinS rrh ^*rir 7lrt) of DrlnDn 1 or rh Aurim( ..!
<br />Proft(..r (in() or rh.r lE or nr N.r.ii, rlrrdn,d {.d rhc h.nr ror rh..lL!.n c(r'Illno AnyrnrLrn'notsidri,n7llll.Shylny
<br />'pplidnr for . pcnni' {"hirt rrE .mli.onr (, r crv il lcnnl' y .r ml nrnc thm fivc hlndrd dolh.! ls5(t) r
<br />-t.
<br />!r l]*E ol tl'. FoFnr, - nr dtrt rc a|n ,.ta s dri hL orp.trrrih. -i[ &, dE rdt lil llE ltrtE i! (r
<br />nrqd.d s oftftd fr rL (sc.?04,r. 8BilEs md l,!f6.ioB cod.: TIE C.l,trrrdt Li.tN L.r do.r El +ply lo u orM of
<br />rlE ,inFny wln i.ilrr d in+rDE dEEL ,n rno.lc rn kt hnrtr d ltclt d thud th a lE lM.n9lt)ca
<br />F*i,.n$.r ch idFftdrB G ulr ad.d dnErd ii..! l[ E,*c. ll hoill4 nllrefr n-Bwdrin.Bla,
<br />ofqnipl.rix!. dE O*Er Builjd *iU h.E d'. tilttn {,.tMil| ln. n d {E dil Dr hrE d h$r* iE FlFty lo. dn FrF. oa
<br />rn Piiisrn C'rL 'I'ht Co.rr!tr'r l-i!.c lj* ilEt @t.!!ltro motm
<br />.nd *,f,) snnBlt tu rkh Fr,FB lirh r A'nraJ.n r, li.nsd Funud ro
<br />h{ilCr or nrqmvc hcd,..
<br />_. ro/,
<br />I"
<br />lg,-*.
<br />I lEEl,, .tfm un<t r FDr, o{ FF, oE ol llt lolbiiE .Llrrim
<br />-l
<br />h.r rd *ill nt ri.. C.nafsl. ofc.oal to S.flEG f.i wt6 onFGriE o F.vtd f,t b, S.din ]?@ of {E
<br />t irCod.. to lh.F6ills oltlr El to ttttr!. tEtl a isr..l.
<br />-l hE ind rill minnan *nld'otrp.tu rnn iBuN. s Eqriid b, S6riti 17@ olllt Lbor Cod.. to dr rdf(ilr.E of
<br />rh. Et fd *ltn fii' F(l! !' irr.d Mt dt6 otFudin iffi csit !n Fli, runtd E:
<br />_l srify tnor in rlt Ffor!re of rlE rorl f6 ehah thir Frnnr n i.ru.d. I .lull ml .rpb, d, pden a! o, lNB
<br />n s ro b.$fr obir! ro rtt md6r @oFnr.rir. hrr olc:lilmir. rn.aE lhd ial rho{B 6cciE t ,i..l lo llt
<br />,{ 6'oqtuli,nrtuvidodo(serii.l?lDorrlEl,!dC.rlellrlladilpihon4]rlhrq!Fvitio6
<br />.N'l fikr up ro ir fiundr.d lhtsids-'-" r'76 "r,[ r.k" A,l. -'.d-",1!/r /r6lt
<br />Df(IaSal](a
<br />I h.rhr rlrno lntld ,rMlry of p.rju, y rhd I Bn li.(nsl uul( I()vi\i,n oI (thfln 9lro$nf,N B sirh SNritr' Tlrx)r ofDtrtrx)n:l
<br />ol rh Bu\i \\!'rl Pn,a.(n)n\Cod(. lrl nry lk.n{ i\ r lullntrli rlrltNi
<br />I trrtr\.(-lr\\ I .ctr..Nun rr
<br />tlrlr (iDlrr(l"r
<br />colsrBrgxxuIlDrE.AcBtqr.
<br />I h.r.by {rm Ertr Fflly of Firy rtd rtlt ir . oorruriE Lndi! .X!By fr llE Ffoffi ot tlt edt tur *hi.t lhn Fdn i!
<br />tr\tr.J iS.. \D7. ( ir ( l
<br />AIAJIAIILIB:IIIAIIIId
<br />I dy.ftn !o&r Da.!y of Dqiry oE of ItE aDloriir &.E{iB:
<br />D.Dlnbtr ldr-a.t6ror taorifEtrbo F.d.nl R.r{hb6 (Tnk r0, Pal6)
<br />--J.qrid L.rts of ildritnt
<br />l.drllr rlI rhc lt(l.rxl(8trhrtr]n\ r.!r',1tr,3 n\RLntl .m B{ .fl'l.rhlc k, lnir ln,r<r
<br />r rond I rrftt,ont'lrtrirhull( ir
<br />Eprr-tr.liB ol lhit Cn, un C
<br />.bE .mlbEd Fr,?.riy
<br />IAnrlt.rnt'tr Ar.nr SrEMrrc
<br />'.,,,,',.,",,,.,,-'.|.,,.,, )<L
<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 r/-Z?- /8 /4r>Akva J4*a> L->
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Ranqe
<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 />Meter Release
<br />FINAL flb /9 P.' Z',
<br />Notes, Remarks, Etc.
<br />J
<br />APPHOVALS ID/SIG.
<br />Policy Nunftcr
<br />-
<br />Final Test
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