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APPROVALS DATE ID/SIG.COMMENTS <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 Deteclors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residentral Ranoe <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 ,--l t <br />FINAL bt <br />Notes, Remarks, Etc <br />-) <br />I <br />Cod.): Any Cny or Couity whi.h rqun6 . p6ni lo 6,utud. .!d. inPioE ddldih or lrD.tr 6y <br />inrc, rL n$,i. t6. Tdtrd b, sh FEi lo 6l.. ri8r.d rrd thr lEor a. i rtrd r{rrir <br />E co .arol! Lic6!.d Lr* (ct F6 9. c.mdils wnh sdio! 7000 of Dieilb! 3 of thc BBiia ed <br />dlr lE ( !l. b acqr $rd!o Dd Or b.it e. ft.ll.s.d a.DFin tuy vblrir of s.dir r0ll.5 by Dy <br />pbjclrlfi. lpplic! 1. r .rvil p.ufty o t rcl morc rhu fiv. hundr.d doll6 (ltoo). <br />FoFy, c f,y moloyG v t *lg6 6lh.n rk omFaiFG s & tlE 6t trd lli *ud@ a mt <br />b. d. (S< 70.., BuiG3&d Prcft.bd C.&r Tt Coir-torr tila t ed6ar 4pl,!o6olG ol <br />d i,ro6 rlEoc .d *tb do6 rdr F* nielf or lE*lf s rhDwn hb d lE 06 dQLrt6, <br />iEFovdEr! & d iilsd.d or dH 6. qL l[ hose. 0r hrilrla u'FovoE !r -ld wihh m rE&ilb *i[ hE dE b!d6 ofFlril ltr t 6 JE di, m. hd.l or iqw dE FoFly 61 0r F,Fo.of <br />Fopqry. m qclutiwly cotr.&iry enh licc!.d codr..roE ro oMrru.l tlE Fnj.d (S*. 1044. Bui6 <br />Tt. Conrdolt Lt.E L.w &o d +91, b D o$€ of FlFy *ho t{ild! or irFoE tt-@r <br />6. Mh FJ.dt enl. c! rano(.) lio!.d Fl6o&! to dE co.Incrd r Lk.c t e) <br />uaaliE8s:(aufEtsarlax <br />DECIIIA.IIII!polty of Frury onc oa$. folhEins &.ld.l ioBl <br />iir.b r cdrin.nr of coen b sdf-laE fr 6td dwtabt!" a FoeiLrl tu l, sclin lr00 of dE <br />Fflffi. of llE $srl fn *tth lh. Fnn i! iso.d. <br />mjnrin wortd cotrrp.dion iBs!n... a ralun d b, sd bn l70o of rh. tlbor Codc for th. Ffotlrec of <br />usl6 o'rp6ib! iM. <br />-i, -d Fliy Mhc G <br />Jh \r'd{/? rt9v,.4 <br />[X t^J LLGLf r >1 z\ <br />th. lafottlrc 01ll. wo.l f6 *hi.h thb Fei i. is!.{ I tu! @l cDph, Ey Fs i! uy trl.G <br />ro rll. wtd omp6riE L*. otcdibmi^ rd tr dlr if I rl,odd b@m &tiil ro tt <br />pmvniod of Sdion -1700 ot tla L.tor (tld.. I ddl fonl*i{t @dply wih rh.r Fovtio6. <br />to s@ *orla' @,p6ai6n 6vq.a. b ub*tuL .rd nldl sblxl d dlphF lo ailid Fdir.!d <br />oe h6&at thoqi &llr! (t100.m0). i. .ddib. <br />[- <br />"''**'" t-td i Fvir'd ro' rh' <br />'tL 1-\K <br />L]!I\)].D l lttl &v LlltL!rr( r \ R \ rt!2) <br />,adty ol Fi6y thr I 6 I€d rd&r Fovib. orcher6 e (o6ttEq sitt Sldh ?0OO) ot Dtnid l <br />!d Proftnma Co&. ,'d f,y ltoE i h tull 6rc tn .llal. <br />lot-t1t <br />calErallglq&r&lDllcrcElcl <br />fol]ryofpcjuryfid rlE n.oirn ioo kndiig!8dy to. rb. Ffdtlc. ollbc Bt br st4h tn! pcEi i <br />AIIIJCAtrI.TECIJSAIIa! <br />p6rhy oa p6ju,y onc of lh. folLwir8 &.Lr.rioE: <br />6 N,olirrcri@ Fcda.l Rcelldbd (Iib ro. P.n6) <br />MECHANICAL.INSPECTOR <br />II <br />I <br />ftflllil!!.11 <br />f <br />u. ftdai 't.tlr.. ,!..d!. &a @e.l re Et dic-L io di FoF. <br />IIbEr. d &i rpdi.rion d,rr. thr ti. &E ilfon s ir.dr.d.I llo r. oEply *it d Crr.d Cord, <br />lr. t,u Eri{ lo hr[dha @E!ri'o. d lt!*rdbriri{.ailg ofdl cay-d C.id, to.nr lpo.rb <br />HXT:"'-Fq Drq r il*...th,fxw- <br />l- <br />i <br />x <br />r.l.ar