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MECHANICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OvNEi biiu-DER DEr{ARATIoN
<br />I h.!ar .rio uodd ]E!, or Firy $r I o aolF tDd d!. cqhdd Lilc try for llE folbtiB Eild (Sa xll.j
<br />Bsi!4 El Pm&*jotr Cod.): Any cn, d corfi, whsh EquiB . Fni lo @dru.t .ls. i4.ovc &mlih d lF.ir ev
<br />,,Etq Fir ro hr igleq.lo EqlnB lt. Opliqt for tu[ FEn lo 6k..i8!cd ni(lEr illi lE or d. b liccta.d ,6rd
<br />16 E FovilirG of ln. Cofisrdi lBa..d r.w (Glr6 9. Co@i.r wi! SdliE ,0{0 ol Dhitb. I ol llE hBilB nd
<br />Proft$b6 Co&) d lhrn b. d rlE ir a.!sl rlE toE ed rlE tri. tr tlE dh.d daqri'tr Ary violaiotr orsari.n 701 I t b, uy
<br />.pplicer hl. Fnn rubjer tlE .p9lic.d to . civil p.dly olml me th& fi!. tud'.d.toll6 (1500).
<br />-t.
<br />r oG 016. FDFry. or iy dphJd $tt *.S6 s 6.t -L onFirio!. *ildo dE *ut dl ft sn( i dl
<br />i ad.d dotro.d tu d. (56.70,{,4, lciE ed ftp&{ioE Co&: Thc Codncln t Lt.4lrw&..iol+Plytomow6of
<br />iEFFty *to hill 6 irFo6 ttie. nd *no &a Lt EL hi4lf n td*lfot tlE d! lti. d hr om.!9loyq
<br />F.riLil$. nsn ilrorlEc E r, ira.t d d oftrd 6( rL l( torrq. S. bith. c ilFortd i 3ld dhn d d
<br />of 6rplci,l. tlr o\rG &rlE sA hG dE hnlar of Flti,g 0'd h.d t& dd d trdd - iltDw $G FoFry ijtth. F !o.of
<br />-1.
<br />. o*c of rtE prorglr. a qdddy sltr-rba whn ficdn d cofitlG ro @!&!.1 llt FliEl {Sc. 7O+4. &!iE
<br />D.l F!trbnr Co&: Th. Conrr.doa! Licce Lw doa mr +ply lo s omd of FoFry who boildr or i6Fos lnqon,
<br />dd rlb e.r.-r! ft. at FDitrt witn . aofrrI<r) li6.n FElr lo dE C.,rr..rd t Li@ te}
<br />lrtrr.\. rr{ tr Ll. S(r,i' .lt \ l'( r,, rh\'. .i
<br />D.r. (,r.6
<br />\i oR(rRs-i (rtrPENsa t'loN
<br />ufcLal^ l!
<br />I hd.i,t .otm !n&. FDlh or FJ6 o* .r rh. lollotr o* rkl L, !'r,N'
<br />-l
<br />hrv. 6d will id.i, . c6rifr.l. of Codai lo S.lt-l@ ror Fil6t 6np..utio., u Flvid.d for W sarbD 3700 of tt
<br />lr!.. Code 6. 0. p6faM of ltE rdt 6. *ndr U. ,od i b{.d
<br />-f h.vc .dd will qiir.ii h*d @nD6!r6. i,ffi., s Eqlild Dy s*iioi !700 of tL trbor C.&. er $. Ffotffi. of
<br />$. wr fd $aid thir FDn i i!..t My wto' 6Epa..ir iEra. c&ri6 d poli., nmbq G
<br />,Ou o-r .*2, €
<br />e.r*1ru,.* / G6 ?9 r.p^
<br />--ylority rt r in tt . poo*. oru. mrl 6r wnkh rhn Fnn ir isu.d. I !h.u ml @ploy ey paon in uy rDs, lio b@c sti:r ro rh. *$td'6inF!.i hsofc.lifoEr odrar-dr if I {bdd bc!@ sqci btlt
<br />$! a ol4dnih FoviiE of S.abo l7O of 6. 1&r Co<L. l i[ rdh,it olqb witt tcFria
<br />IECI'f,AIIOA
<br />I hdrb, .tE6 u!d6 pdly of FiEy Oi I a [<d uid Fovtir of Ch4G 9 (GMES sith Sctbo ?0m) of Divilbn !
<br />of llt BuiB ild Prcft..ioB Cod.. !d Ey li.@ i. in tun fol! ri.lId.
<br />C- z-,'" '?I
<br />D.r. I /,'e1,.|
<br />co$ualclxlltlIdDtlc.ac
<br />I taltr .ftn E d6 !@ny or Fjury thr dEt a. @irtlrlb! lat6!8 {cy hr & Ff..u. of lt wt tu ttthtllt Pdni b
<br />rsu.d(S(.1097.(h C )
<br />AIIIJCANI.DESIAAUOd
<br />I hd6, liEi u!.ln !a.ny of Filry oa ot tlr 6[o*i!3 debrioB:
<br />tlnolirioo Pmn&Albdror Norificrrion Fcddl R.sulriotu lTirlc 40, Par6)
<br />-R.quiEd
<br />L.rl-of Ndikid
<br />,/".riry ru r* r"ao"r ,"g.r"ri,N Elrdi,s 6bdor @v.l s. mr +plicibh b fi& p'q<l
<br />/c<tify $d I h.". el rti, .p?ltaion !n.ra. rh. rt! ltort inro uion b.drai I .e Ero @6d, *nn dl cn, ud couny
<br />odhm6 &d Str. Lr* Eh|iry ro hrildi.g .oirrudiotr !d hs.by .lntoria r4.*xtliv6 of lhlr Cily rd Counry lo oi6 lFn Ut
<br />.toE drbncd Fopd, tq iltcrbn F,F€
<br />Pchn6 ilr (Fiir):w/6a'erl fu-fir
<br />rh. / /f./e
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulalion
<br />Rough Ductwork A<4Y o',
<br />Vents ,rof rf:g"h
<br />Toilet Room / Clothes Dryer ,Y - ,)'n )r v
<br />Residential Range .$ ,r1 -l('
<br />Other .74' ,V ,lJ' _ ,l!t-, 0'r? ot"J VY-
<br />Hood ,/ r. l,f- )'
<br />Type I Hood n,ll'''
<br />Type ll Hood t
<br />Grease Duct
<br />Fire Damper
<br />Openings
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar L
<br />Rough Mech.?rt- tg _D,JdD '*)
<br />Final Test
<br />Meter Release
<br />FINAL 7.7,L-17 -l/eJo"h 't/Notes, Remarks, Etc.
<br />w^f,Nlncr F.ila to 3w dla @4qr.i'i oEisc i' uh*tu1 !d tul rt*( n otproF lo oiEin.l pdrb nd
<br />.ivil 6i6 up ro d hd.ild rto,ed &U.. (llm.@), b !&iiE ro rL @i of oqorioo. dq6 . Fdild bt O.
<br />Sdion 10?6 olrh. Lrtor Cod., ifldr dd dorEy! fta.
<br />Smoke Detectors lnstalled
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