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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-lnsulation
<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 />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech.
<br />Final Test
<br />Meter Release lt -a
<br />FINAL 'Ull*r
<br />OWNER AUiIJ'EA DELCARATION
<br />I tcrty .ifiD s!& po.ly oa Firy thr I d a.4 6@ dE Cofrdd Li@ t { fo. llr blbwiI r*E (Sc.1orl.s
<br />&!i6 d ?robon Co<t): Ary Cay or Cody *tit Eqtlis r FEi lo @dML .16. iryorq bolitl or',qi ey
<br />ounEq Ftrro iB i*!r.. llo r.quic tr ?pltor fo.Bh p6!n lo 6k. ri8n.d ttoEl $r h.d|b.i liat d Dl ld
<br />!o tls Fovitbd of rh. ColtErd.' Lta!.d Lrw (Ch.p.d 9. ColllldiiS witt S61b. ?000 of Divbion ! of tL Bdilg &d
<br />Prot ibB c.&) drllr lE d dE ir a.rFl rhdtfm id i6. t'dl 6r rlE.lb.d a.!Fb!.
<br />^I,
<br />vbhiF of s.cb! rc1|., by &,
<br />.lpli.d fd . Fon ot*flr dE 4plic.c ro . ciil pdly of d EE $n f( bddld &lbr (t 0o).
<br />_t. o o*G ofrlE FFy. d oyrtrpLrc wirh *ta6 B tlEir nL 6npau.bi. wil & lt rdt.,!d UE relc ir El
<br />nd.!d 6ofia!.1 16.lG (Sc.7oaa. Buiand PDtriE Cod.: In Coe.dd r l,i(* te doa d tply b - or or
<br />tLrrgdr, EtD t{ib 6 iFlq rbE! r'd sho &. rd Er li,!!df d ha*lf o, dttu$ hit d lE oE.aloF...
<br />Fovidcd rtd eh iEFlrqrd E d ina.t d notuld 6r rt lf, hort(.lF ttildia c iEFudtrd ! Fld *ib * )e
<br />of.d4rniro. dr OvE Buil& wiu ltE tlE hldd ofForhs 0!. h. d rlE dll Dr hlld or rgw d. FDFIy br 0E FrPo.. of
<br />-1,
<br />! (ffi olrt Fop6ty. 6 qclqiv.ly co.radirs *itt tcqq.d corr*roE b 6reud llE FoJ.d (Sa. 704{. DsE
<br />.rd PDbnn Co.L: Th. Coalr*ror'r Lic.e tw &6 nor .p?lt to e own6 of Fopql, wto blikL or iiprcGlh6@n
<br />Dd *ho otrr-ls fd *t Foin! wih . Colrr*ro(, lt@.d Fjlrd ro rl' Codr*rd! LiE4 L&).
<br />-l
<br />o qdF !,xb sa&n lr A l'( ri rhs '..n,,
<br />_ Orn6:_
<br />Itof,f,ESllOUrEMAlq!
<br />DECTASAIIO!
<br />I hsqr lmm undq Frully of prjlry on. of lh. tollowhS d6l&dhB:
<br />-l
<br />h&r nd rill did.b . C.dtu. otcoE n lo sdf-la!! ft. 6i6 6i!!6rirl. . Foid.d 6r tr S.nio! l?00 or{r
<br />trbo.Co& 6rtb Dd6.rE oflt €t6.et t lhcFoi i io..L
<br />-l l!v..!d will dl,rin srl6 coo06rlba irec . FquiEd b, S.dnE 1700 of dE Ltbor Cod.. 6, th. Fb!l,e. of*:;ru**{ir rn rokt nmb6 c
<br />?*42 O17 - zroz o -tr/zr/Zoz/
<br />-l
<br />.6rit lh.r i! rh. FfotliB! of $. e'I ro. q6tt ris Ftu ir isu.d I r|ll nor dploy @y pcro io uy or&
<br />$ ! lo bcor.!bj61 ro rtc wr@'c.6p@rion L*i of Crlib n .nd.lxElhd if I riosld b6ore &bjEl lo lb
<br />Ela'@qa..ir.Foviieoas.diolrmofln.LrtdCo.L.lfi[.f.dt*irhoqlysitttotFDviriod..
<br />ITARNINC l lu,c rr e\tr'. \.'lcr' ..n,tlnvrkr (tr.ra!. R e dlploF ro tuiid Frit .i
<br />.ivil fin6 up ro oc huir.d rhoc.nd &lLa (1100.000). in d&.sd a !.ovid.d for $.
<br />I hq!b, .1Im uda pdrny of Fjury lh.l I e licqu.d i.olirion of Cti,rr 9 {sI1JtE,ns wnh Sarion 7000) of Divtion l
<br />ot rlE Bqi.a .!d PElsioE Code rn iy [.a* i. i! 6ill foc &rd clt (l
<br />,,^.a*, A'B OX'7Zz-
<br />^,, z/1G/2oz/
<br />I bott,.truD dda Fdy of Fjuy 6. rk! b.6 r!6
<br />i$Ed (Se. !09 r, Civ. c.).
<br />6f ih. @rl hr tntb lhir p6En it
<br />l6dd s Add6t
<br />,r.r'r r,rlr ntt rru'rror
<br />I h6{r!.ltmu ls po.hv olrajua oflc oflhc touotrrs dal&!r$6
<br />Do..l on P6m'ti'A5b6ro! Nori6.arni f.{drl R.llrldbns ( l l..l0. Plno)
<br />R<llurEd I drd of Nd,fdion
<br />I cdiryrhd rh. fcdsalr.suhlFB Esudn! slBl(r rqa,v ec nor .rplt.blc tu rhs tNjd
<br />-l
<br />dit {i I t-r ,Ed lti 4glilin rn i. cdr*r. I raE ro 6nply rilh rll Chy .nl Co{ny
<br />odiM6 rld $d. L.f,s r.!,E .s!ri6ofrhLcny&dco',ryrodd'D6rh.
<br />rboE ,ro,rion.d FsFr, fd
<br />^pe6.!
<br />r &d stqfc 4L/zvz/
<br />Notes, Remarks, Etc. _
<br />IIEZEWlrt
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