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APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Eva rative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rouqh Ductwork <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 />Rouqh Mech. <br />Final Test <br />Meter Release <br />c/a lzrFINAL <br />Notes, Remarks, Etc. <br />a <br />II <br />wrariE- <br />MECHANICAL.INSPECTOR RECORD <br />OWNER BUII,Di:f, DiI,CARATION <br />I rErchv rr r uRld Fnrh) .'r F,,!,J_ rh! I D.kn?r rn,m rrE Coorr&rtm Li.n* l,s [itr th roll' n3 n.io.ls( 7o.]l 5 <br />Busircs ml tto,rt\i,n Cod.): A.y Cry or ((rdy *irh r.qurcs f, rnr b .uneM1, .l'd, irrynrt, dcnlluh or EFn oly <br />{d(J!,.. F, k, irr i(uN. rle Equn.r rlI lndiDi for.xh Fm! n,lik 0 (is&n {.l.rd rhn rEot rrr ir li!.{d nqqqd <br />xr rhc Fo!ni'n\ nf rrt (imt!.t(tr.s l-i.c.rd l,s ((]urpr.r 9. (i'mm.tinll sarh salon 7fix, o{ l)!vti,n .l or lh Aurim( lnd <br />Pn,f.si8(irL,drhdhco.lhi!crcrr rh...6ohrd rh. trr (,r rh..lk8.a! cr.n$r)n A.yrbLih.ofS.dir?l,ll t b.trv <br />0ltlicunr nn!!.rm suhrccrrrhr if/ili.ld nr ac,villltmlr!,n(nd rmrthln rirc hunddd dollnF tls(X)) <br />-1. <br />.r owF of rh. FDFny. c hy.rphtcr wnh *rgc. s rlEir v,k onpcNrlnn. *iU rlr d. sd.! dE nEiE h ft{ <br />id.ri.rt d olH ld rl. lsd. rO+1. B6iB ra Piotsil C.d.r TIE Cdrr-rd.r Li.ff t r d(s id rrPlr l. o cn of <br />rhc FsFi, wtr, huiLt! or inproB tlE6n, ]n *h doc. iEt qni nitrGlt ot lEEll or lhmud iti or lrt om.tt!lo!6, <br />FovlL{ oul en iFtr\aGnic d irctddotE d ft, -h. ll lbEE,lt bildat r ilttmcri b.odtaind }d <br />ofsq'Lrbtr rlE O* r Bullr il,rE dE bqrr].i of Fsvin, d. rEudEdnt boildd antftE dE FoFr, f di PttIGof <br />-1. <br />N dG of rh lrqEiy, .h crtsiEly..!rrni! wnh ltrEn .dr.-l6 ro @drxl dE Foj.{ lS< 7OL. &!irB <br />rn ADEsi, C{'d. TIE Conrtulol, LkG.k trp &B mr {ply to u.sF olFoFny *ho t{ildr n ioPEB rh6oG <br />dn ttF 6lrn r. fd {at FDj6di,tt. Cadrront ltar{ Prqd ro rlt Codr-rd'r Li(w 1.r,. <br />-l <br />n.kqr un4r S<r <br />lr.r. ()rrr <br />* orxr*r' crrru pr:Ns{rror,t <br />Dfllaf,Alll]! <br />I tnchy stfirm unld FMlry ol ,rrJt.y om ol rlE ft [,f,in8dNlvrtrnl <br />Ih c I tr 'll 'tu rnron a ( .nifx.r. ol (i,n(d nr Sclf lnrurc lu f,, tdi o{qtnsri,n. J\ Inr rkd r,n t'y S(i). l Trx) ol rlx <br />Ixhr (irlc. hn rh. FrlnnMft . I ltE trod lhr *hrh llE psn r n teud <br />I hav! rn *nltrhinlrnr urrt.ra (nmn(n\arinr iniut|Rc. r\ rqtrtr.d I't Scdt,tr \7(xrol rh.ljtx[ (ixlc. forrh.lsln,mmcol <br />rh. $or\ frtr $hthrhr lErmillr nq, iltNo,rdr qmFturx'n n urN.curs mlPl.ynu'nld,R <br />a.Eylru& ErILG <br />_ _l ..ni! rh.r in ih. FrrorNn. ul rh. r o,k lttr \'tah thi F(n t n\rn I fi,ll nn cn{ ry..}Fr$n 'nr.!mnki\' us t, tri{* suhr\t x' lhc w{rt6 .r,n{rn\"r on hw\ ol (}lif(n nl'. nd 03,N lhd rl I \htll h.conr $hF1hllr <br />{ndd\ drqrnsri{ F)vi1-,N ol S(11,n .r7($ nf rh. bhr (irk.l9Ell. idhqrhi'nylr * hrhEtnorFi.rN <br />WAXNIN(; F ihrc ro <m rtr*6'mqrndiln .rnmF i! unLrtll. r l itEll iohF<r .n .trl|bF. ro di,iMl FEIA el <br />.ivi! nn$ uI ro bE hundFd rk'$rnd doll$ (31(rr.lxxr). in ldd'rbn ro th ror or co'llfBnqlion. dlms.r .. Fivn.n lor rh. <br />^Gri('n lr)76 (t th. trhr (-dc. inrcrcr .ul .lnmr'r lr <br />l.lrqs4curlrac[la <br />DEIj8AIEIS <br />I ha!t, .!Im u!d.. Frny d Firy ttr I d lidE l ea., Fo6h. of OiOG , lffiiry rrn ScrlE ntu) ol Divirna l <br />ol rh. BuiB.!d PDtBbu Cod.. rd ny li.l@ I! h tul foe !d.tr.cl. <br />qTEIEUqI(IILEEIIC.AGI$:T <br />I hqdry drro ul&' Fdr, or pdjo.y ulr iE! ii t @{ir!&.bi His {dr ror dt Ffrf,tlrc of rlE wt 6r rt&h tdt Fmt I <br />Lr.d (sc. lGr7, civ. c.,. <br />AIILICAII.DEqAI{IIN <br />I H't.trm !.d.r FEt, of Fp,, oE or r folb*an! dc.lrann <br />'i lrx,tr l'rrn, t. ,\(i\r,^ N,t'll1, Lr l'rLl('ir Rcrtrl.inrr I l lL'Jo l',rn,r <br />R.(tui,nl I .Irr .l N,i'rn x)n <br />I\ rl!n rhe l.(ldilr.rtrhrtr)n\ r.rJJn,l: r\tr{!\r.in*rlr. trlr.'tt,l(rhlc [, (hA t)nri(!r <br />!F .td 9L 1,B EIi{ ro t ildi,t drnnEintr td fislb, tllluia nFtrnriE. ollhit Chy dd Cofly lo o16 '4.r tlE <br />rti,u nrno.!r(l pr'trd! I'x trr\FCrtr{ftrrti^.{ <br />,r|prrc,u , r ,lrur s,rrm-")C <br />-l- <br />p..r." "*" rr"iur t <br />tx1)A- <br />Vents