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MECHANICAL.INSPECTOR RECORD
<br />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-lnsulalion l1 "l w<q
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rouqh Ductwork
<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 />F.D. Drop Test
<br />I I tl .
<br />0Above T-Bar D
<br />,.
<br />I
<br />Rough Mech.
<br />Final Test
<br />Meter Release
<br />FINAL n 1/l T)1
<br />b&Y6'
<br />Owl!ER AUILDGI DII' RATIOII
<br />I hq.t, .tt6 ulda !a.ny of FiBy tt I 6 s@,r tlE rlE Conrson Llja- lre hr uE 6uowi.8 r6on'(sc.7ollj '
<br />BsiEt Ed Pmfrt*D Cod.): A,y Cny or Couny wni.h iquis r Fd to o!r&r. .la, iqNrq &!oli.[ d rqn ry
<br />!r'rtr6r. Fh. lo il! !Fls.. .!o ,.qu!6 {E {9li..i for *[ FDn io 6t . ia!.d .lr6El {tt h. d ic il li.at d F id'
<br />to rtE Felrb6 of rlE co *ra ! Li.atGd t w (Ch4r6 9, Cqleslr ett s!.ib. ?0m of Divibo ! of rlE &.i6 dd
<br />PoL.io6 Co&) d thd h. d rL i qarpr u-dD6 ed ln. t-i br iL.ll.8d a.4br Aly vbbh of S.db! ?oll.t !y.!,
<br />+liod 6r r Fui iu,.dr tli pplitd to. civil Fot, of 6l tbc $- !iv. hltrd &I-r (3t00).
<br />-1.
<br />! ogc ofd. r.oFr,. co, qD9bJ6 *ii w..a r dEi, -L @rFrioG, wiu.r, lb Et -d lt.fiEt i 6r
<br />iiddd rotu 6. -L (Se.?04a, &d6 -d ltobir Co.le TIE C.d-d r Li(E lry &q Dr Sly !o a o*E of
<br />6.Flpar, *io hilt c ia.!q tlEec, !d *lE d6 iJdr Ei hi6df or hddf d lbol{i ii' a ta os cqro,..t,
<br />FoviLd tt $.h iqorffiEn irad.dadH &..L- l( b*E.ibbilttq iqud i-ldtihcrn
<br />ofooqbi!.iEOrEAnbsi[hErLhnbofpovitrLh.d.n.tlorbiEaiFclt FlFly EdrF4cot
<br />-[lolEortn
<br />FDFrr. & a.lurt€ly od-tb sii b.a.d @n ad b @duo tlr Fojrd (s,-. ,04,1. ElliE
<br />!d hDhi,r C.&: ft. C4nrEq r Lias L.w &E d ryt to n o9c olFoFr, eto bil(l u i[,.oE 0Eaa
<br />rld etlo @d*lr fc oct Fis *ih . Cod-d(!) lt6.d F,rd ro lh. co E r Li@ lr}
<br />I mqmF urtd Sdi.n .B &PC forlhlMr
<br />lrrr.: orE:
<br />TAIAIIE..COMIEAIAIIA!
<br />DECI4AAEq!
<br />I hglsy .lIm undq FuXy of Fj!,y o* of th. folbwdt <b.lerrio6
<br />I l'lv. od *iI MiDrlir r CErifElr. orcoEd ro S.lf"lM ior *orld @rFldion B F!vi,.d for by Scrion 1700 oftlE
<br />kbor cldc aor rh. Ffollr:.4 or$. srl 60r sni.h lh. Fnn i isu.d.
<br />-l h.v. lnd will mainiain wort6 .omFM ion iNumc. 6 r.!un d b, sel trn 1700 ol rlE t t'6t Co&. for $.
<br />'h. *orl for *tu.hrhLDrinr s e.d Myworl6 c.npGuFn NurDc.Md s, Fhry numl'd r.
<br />,*.Lil.rly /vl*.h.^l h7c ( h5,n--n,.DE;o tol u,o"-, I / to(zz-
<br />I cairy rh.l iI rtc Ffollre. of ilE worl for Bhth rtn Fmn n it&r.( I rhll mt dpby D, rE&. iaey !l,E
<br />n Ero bcoE $l*ll ro rlr $ql6'odFE ion Lq ofcdif.6i.. od rrE $r ir!,buld b-or !6jcr ro rh.
<br />srt6 otrpoEnion FovtbE ofsdrbn l7@ of0. t bor Coda I d.ll 6dnwnh @mdy wnt lb* FDviriia.
<br />*AlNrNG: F.ii,. ro sE mrto'orpclrion @vs{. ir @Lw6ll .'d tt l sbjd 6 .llpbF ro ciniol pdrb td
<br />.ivil tE !4 ro oE tErid ttd!-d .lo[b (1100.000). in .rlditb. !o 0E .or ol.onp@dba diEa. . Fvii.d 6r rlE
<br />IJCIIIID.COUIIACI!f,oEtatAuqg
<br />I harby.,r!r @da pa.ryorFiry tL l c t d @& Foviirlof ch+.I (@GiS rit S.db.7{m) of Divbio! 3
<br />of rE ttliE ad PrdiiE Cod.. -d Dy D.4 b b tun ,o.E -d .&d.
<br />--8 lLlctS
<br />OGt
<br />cq!flaurolJ&DllclcEdq
<br />I horby .frm ub p6.lt, o, Fj!., $r 0E i..o,Eodbn lodnl| .t4,f.r rlE Ffolrll.E of $. eqt br qittob FDi ir
<br />is.d (SE. 1097. Civ. C )
<br />I cqriry thd I h.v. @d tlta .rpltdion -d nic tha llE .toE intur$rion ir con(i I
<br />odind6 rd $4. le! Elit's a"d Couniy lo drq ulo. ttE
<br />.!ov. @thad FoFny fo.
<br />rlr.: {l ', / > t
<br />I?ifri1nn
<br />YlEtil'{:-^W
<br />/3q,lders
<br />lndsiAd&6.
<br />AIIII(ABI.II&CI,AEdUAN
<br />I hqlb, altim undo p6alr, of Fjury on. oa th. aollowins &rla.l ion!
<br />D.mohior Ptrireasbcrd Norificrlon F-qlaal R.suhnn. (li'1.40, Psn6)
<br />R.qut.d lik oa l'lorifdion
<br />I cdray lhn $. f.dqal r.sohioN r.s,ning .+Brr rnovll o. nor arlrcabL ro rhi. ,mjd1
<br />lnstallation
<br />Above Hard Lid
<br />Notes. Remarks, Etc.
<br />f\tz-\zt-P1P -P1,"*AN
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