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MECHANICAL.INSPECTOR RECORD APPROVALS DATE lD/srG.COMMENTS Appliances Metal Fire Place Evap Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid -\Above T-Bar {':r\,1$J)e!.uta 44) Rough Mech. Final Test Meter Release U"JE4a ,eFINALI.4/3 Oe!d-Bdldd D..hr.rion I h.r.by i,firm und.r p.rny ofp..tury lh Iohq.n$fordrt Conrdcro4 L,c.n* Llw lo, th. follo*'rs ro$n ls 7011.5 Bains dd lrc&.sion Cod.): Any Ciry o. Coonry which r.quiB . p.m ro @turrud, elrd. inprcv.. d.molish or r.pat My srrucr@. prior lo ns i$u.rc., alio r.qutB lh..pplicul &r ruch pmil lo lil. ! sigNd srar.mcnl th'l h.or!h. is lic.B.d p6@l ro rh. pelbiois of tlE Contdotoi! Lic.ns.d Llv(Ch.pl.r9, Comm.mins wilh S..lion TO00olDivirion t oflh.BurinB!lnd ProllslioB Cod.) or thlt h. orr .h. ii cr.ofl rhd.too.nd th. b6.i! fo. rlE.Ucg.d ci.nprion.A., viol.rion of Sdion 701I.5 by uy applic. fo.3 pcmh lubjcds rh. lDplic! lo ! civil pdhy of nor mor. tho 6v. hundr.d doll6 (15m). _1. e own.r of th. pop.ny. or my .mploy6 wilh w!86 s rh.ir tuk .onp.nslrion. will do lh. work .d ih. shdu. is nor i md.d or ofi.rcd fo, $1. ( Sâ‚¬ 7o1-a. Bolin6s .nd ProaBsbns Cod. Th. conk!.tor's Llccns. L!* doe nor lpply ro .n oMd of rh. pDr.ny wto builds o. inprov6 th.mn. lnd wno do.s sut worl him$lao! lEB.lf o. lnmu8n nis or h6 oqn .mploy.6. provid.d lhit sicn impro!.mc srrcnor i.t.nd.d oroff.rcd forrilc.li how.vcr. $. building or improEn. is rold wilhin onc y.rr oa.ofrpl.rio.. thc O$,nc.Build.r will hav. rh. budcn olprovinB rhrl h.o, !h. not build or ifiprovc ror $c puQot. oar!lc). _1. E ownaorrh. prcp.ny..d crclutiv.l, co d.rinr wht lic.o.d com6cro^ ro sEtocr rh. !rcjcl ( S.c, ?044. BNincar dd Prof.sbn Cod. Th. Contr dolr LGns. Llw do6 ml lpply lo & ow*r of Drop.ny who buil& or iDpro\ 6 rh@or . lnd who 6nt * for !!ch proj-G enh i Cont.cro(e) lic.N.d pu6u..r io th.Cont dor! LE.ns.l,q ) _l a .x.Ept urdq S.nid -B. & P,C, for rb! ruon I hav.lnd wrll hd'nhin vork.ri @.rr.MrEn 'nsur!nc..as requr.dbyS.cnonlTo0ofin.bb.rCodqforrh.pe{orn$n.colrhc worl aorwh,chlhtr pemnt '! it3u.J My work.B comp.nsr,on insu6nc.onid.nd policyoonbrirc: I c.nif, 'hd in th. p.rformrm.ofrh.sork for shi.h rhis p.mil is irsu.d.l shall nol .mploy ,ny p.Ron in any manncrso 6ro b.can.suhr.cr b rh.'vorl.6 .omp.nsrhon lrws6lCihlornlr- rnd ld bâ‚¬.oni. subr.cr ro rhe worl.s' rcDp.drion provtbc oaS*rion l7@ olrh. ^,,,5 lt ll F WARNINC Fillure ro seur. nork.B conpeBdrion l rnd3h.llsubjet rn.nrploy.rto crimina I pemlli6 rnd ci!n nn6 up to on. hundrcd rhouond do llirs ( I I 00.000).i. rdd rh. L.tor Codc. 'nter6rrnd trlro'n.y 3 td ucEtsEo.Co!I!acf!8t-DEc!}!41&! I tccby 8mm und.r p.tulry ol pdjury rnrr I e lictud u.dâ‚¬r prcv*ion of Chlprd 9 (oflo.n ins wnh &ction 7000) of Division 3 oa $. Aosin.strnd Prof6sioBCod.. Md my liccnsc is in tull forc. md.rdl f6 I h6by !flim !ndc. p.olty ofp6jlrr lhll lh@ l.nding rg.ocr aor lnc poao@..! oirhc wort aor*hi(h lhis p.rmil i! hrucd (S(. 309?, civ. c.) aftttcarfltEc|.AaallaN Ddnolhion PmneAsb..rot Nolilicorio. F..lcdl R.srhIiod (Tirlc 40. Prn 6) _ Rcquicd L.rld ofNorifiorion conply $irh ill Cily 3nd Couiry his C y lnd Counly lo cntcr upon rn rbov. o.nrioBd prop.ny to. k {/r I r7 uon For.rs\Mechanicallnsp6.lor Roco.d doc 03.31 06 D.tc Own.r \YORXERS COII'PENSATION DICLARAlION I hd.by afinn undd p.Mlryof p.rj$yon.of rh. lolloein3 deldrarioBl I hilc lnd qitl nri.ui. . Cdlii.dc of Co*.tn ro Sclf"l BUr. for @rk6 cohp.n$lion,$ prolad.d ao, bySerionlT00ofrn. t tor C!d.. for lhc p..fome. ollh. work for snich lh. D.frit G3u.d. ,**,, N*Tl on */ LY ft6 'r#" rolh.cos oacompcnsalion, damascs 6 p,ovidcd for ln. S.clio.1076 of E--"***,, -