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DATE rD/srG.COMMENTS OI,NET AUILI'EX I'ETARANON
<br />t bdrly .f,'fu u!& Da.r, ol Dairr Or I D a.qa tlo UE cdr,-lm Li.qE t s fti tf. 6lbwi{ le (S...toJ lJ
<br />&ui!6 -il PD&-@ Cod.): A!, cry or Cody rnich iq'ri6 . Fni ro @drsL .lt, ia.ov.. .EElit 6 tqt -,qlrdG Fi'to a! -'-....1o..+i- rt rdi 'r
<br />for Bi Fli lo [lc..i!cd rul@r rhr t a i. i lir.rl F 'Ello dE FsibB of rlt Colrr-rd'r Lia.d Ls {(t.Fd 9. co66n! Dat Scrb! 7@ ot Diviion ! of tL &tiE.x!
<br />ft!ftlioB Co<L) d li.t Ir q &. i dql th.rilo -d fi.lEb bt 0E dhld q@Bie &y viohir ols.ciE ?0ll t br 6,
<br />4plic.d 6r. Fnr dbj*it tb q?li@r lo. cililpa.ly of bl EcttD 6t.. hb&!d <bl6 (!5m).
<br />EI. s osG otttc popqry, or ny mpbld wnh wts.r ! th.ir ob @6FBdio.. wiU & {t wL !d tlE tEllae i ot
<br />ir -.,.d orok &( oL (Sc,7044. Bu&E ed PtDlt ioL Codc 1l'. Cod.rcd . Li.@ Ls &6 @l 4plr lo D oRE of
<br />{E Fopdty *io t{illl d iryDE lha@ rd wto &- rdr slt hi@lfor h6Elf ot thlu|l ii d [s om dplor...,
<br />Fovii.ilrhn.u.h a!pror66.Gd iraddotu &..L 1( lEw, d.btildiry itFlrd ird wilnldtt
<br />of..qkiE rt o\ffi AriJ.b vil br.th. htda ofFlvtl tL h.6 th. (H 6l UriS a iq* |n Flrct, ftt O. FtF..l
<br />-1,
<br />- 016 of d!. FDFr!. m tuiBiE|, coc-ria tnh li.6.d @drr@ ro.otcltl lr. FoF (Se 704,1. &!iE
<br />-d h!td, co&: TlEcoftlad r LiE* lry &r tror ry|,o &olG ofFoFy wto toiBt or iE ro€ tl@..
<br />ad *lb oir.d! 6. rd FDj.ti. -illi r coc6.1!) lia.d FrDn b
<br />'h.
<br />cdrr cd r LiE* tn}
<br />-l
<br />e .tdF rrxb sdlio.- B. & P.C. for tnk 164
<br />D.t" /,/6 'Zot? c,,^u
<br />OEOJAAIIAN
<br />I na!t,, iITm u6& pa.ry of FJ!,y m oflh. rolow4 &.b.ln6:
<br />-l
<br />i.r nd *ill n d.i. Cqri6.a.of Cood ro Sdr-lEd ft. Eta 6{qlin - FqiLd b.l, s<litr l7@ of llE
<br />Lrbo.c.d.. hrtbFh.GotdENt ft.r&t FEi i A'.d
<br />-l lw..!d *ill ui .b dtd coryrbn iillftq. t Sri6d t, salbo lt00 oftr l-6r co<L.fot r!. Fh.!e ol
<br />0E wt fc*tttltirFri i iE d Mysqt4 6or@rit i6'rcnit.dpolry ldba c
<br />Poli., Nlrhhd
<br />-larptrq
<br />..fiig,u aru pto*. orrt s rq siii lhi. FEn bi.u.(I.t nm|G.eloyE,FDrh6yo&E
<br />5 . b b@o. obie! lo lh. Erd oEgdnn L$ of c.li6di. &d rrE Or ir I tbd.l !..o@ ol,icr lo lEsrla' @ecdb. FovtE of s.dbn !700 of rh. utt cod.- I ltll fu.lh,n! @4ly wii llbi FoviriE.
<br />lf,Atnlnc. t.ile ro Bc rdtd oEFliio! @vq{. i @Lrtul d i.[ lt,ixi o 4bF lo dioiitl rdli. id
<br />civil ftld '+ ro oE herH tl.rEd &llsr (tlm.000), ir rddnbr lo E clr ot Mpdlrbtr d.trs€ ! FoliLd tor E
<br />SEri.n 1016 of rlE lrhr C.dc dcr. &d .ttdlEr'r tq
<br />IJCEIIIE-CoIUAACTAE
<br />IICIIEAIIOU
<br />t tatt, .tlm sr& Fstr of Fjoy tld I 6 li.ar.l && Fovbi@ orchd6 9 (onlciry silh Serir ?000) of Divitb. !
<br />of 0E ButE !.1 EElrid Cod., -d By lta i n tul 6d d cft {
<br />!q!!III]qUA!..LE!!BG.AC!!(I
<br />I hcthy .lrrn uida Foly ofFjury lh.I llE k.@riru.lion lndi.g.8dcy lor llt Ffo'!le. of lh. mrt tu *tth lin FDn b
<br />eu.d (Sc. 1097. Civ C ).
<br />L.nda t Nw
<br />-
<br />AIIIICAILDEq'AAIIO!
<br />I My etn u!t& ,ady of Firy c of ft 6[osi.a <tdribB
<br />D.@lilbo P6Di9A$dd ilri6..ib lt(b.| Rqlbbd OiUc ,rO. Pfi6)
<br />-R.S,ird
<br />l,16of lkri6.aih
<br />-l
<br />cdrify rhlr rh. LJ6.l ..s!lri6B E!{di.3 shqtor rmvJ s. aol qdalbl. lo thn Fridl.
<br />colit rn l I hrc @d rlir rppli..tion !d s G rtri $. rhrv. infoddion ir oF..r I .9c lo coorly wnh Jl Cily ud Couty
<br />odne€ .!d sr.t. t.9 chlir{ ro h'ldirg rc.iru.rior l,Edy lrnorir. EFsmi6 ot $n Chy rd Coldy lo qn. l4on tt
<br />.tor. ,nondEl FtFny fn ii+.crio.
<br />Applicltr n ABd'l Sbnde:
<br />Pd'na,*(Fx,) CrzcZz t /<tt@
<br />Dt,c, /'.,,a .2a./o
<br />Appliances
<br />Metal Fire Place
<br />Evaporatrve Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Range
<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
<br />FINAL
<br />Notes, Remarks, Etc.z v .L
<br />MECHANICAL.INSPECTOR RECORD
<br />APPROVALS
<br />a.L'b-4.
<br />-,., /, /4. zatE
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