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OWNEA BUTLDEI DSI,CAR IION <br />I hs.ty tlfm uEla Flhy of Fjury lha I @q@l, 6!m lh. Con|n.lm Uc.n! t e 6rlh.ftJlbwi,| ren (Sc70t,.5 <br />BurilB .i Protubn Cod.): Aly Ciry d Coidy ettn E+iE . FEi ro drdnrl. .!a. i'!FDtr. dd6h d rqri -y <br />nnElEe FFr lo tu iltlre.. &. nrqli6 t epltat &rr Mh Fnn ro nk . rtn d nra6r $i hc or tE ir lic@d pt ret' <br />ro rh. Fovirir6 ot 0E Co.E .lor'r LieM.d L* ((t4ia 9, CottlltErin3 trnh Sdbi TOOO of Diviio! 3 ol tic &aiE -d <br />Prot6i,N Co&) d $r t d llE i! a.ofl lhadlo.'d r b-i hr dE.lkScd 6@Bi[ A!, vi,bi@ olsclbr 7Ol1., br.!, <br />lprlioa for . Fnh rbrcr! rh. .rpli..rl lo ..ivil pa yof st trmrbs liv. hudr.d dollr. (ltoo). <br />_1. r o\rE oalh. Ircpary, or my o110,6 win *.a6 a th.ir $L @EFFdiotL wiu & r!. @* dd 0E sl.n! i 6l <br />inord.d (otu fE rL (Sc.rol,l. B{i6.d Prcb.irE Co& TL Corrr.dd . Li!* L&.rE dl Sl, lo n otG ol <br />0E FlFry rtb biLl d ilFDr-rlE@ d wlD dG trt Kt nirdf or harlaor ll!D'l3n hir d !d om 6pbtt .. <br />FDvi.Ld $d *t hq$ltla & Dr iiad.d dotu 6..1.Il ho*@.llE hiLlitra tr irF!@r i Eld dhn' d ]E <br />oa.q4qi!! lhc orE &litt *iU h.Eo.hnbof Flr4dr lldLtld Dt h{ild riqwtt FtFq &.6.F F..of <br />-1.aoleofrt <br />FlFry. dd.hliv.ly@rtEir sitt ti.@.d@drEtdlro @trfiar rt Fni.d (S-. 7044. IrnE <br />.rd &Dt-{ Co&: ltrc Conhdoar liB. trw doa mr Tpry ro r NG of FoFry eto hil& or iEFova lhaai. <br />&d *tb 6nndr &. rd Fois *in. CoGEd(.) lild Ffla !o O. cdrn<rd.r lic t s} <br />D.r. ormr ll,8lif,&rgtrf[]talar <br />DI(l6A/rrIQ! <br />I hs.h! rllirm unls F! r! olpqurr !k of rh. hllN\m3 d(hr.hnr <br />-l <br />h!v. rd will miDr.in . C.nia@r. oacoDgr ro S.lf-l.!@ aor mrtdt @ pa.rioi, B Fvidcd aor tys*rioi 1700ofrlE <br />L.td Co& 6r tlE FfollE. ot $. r.rt fd *ii:n rlE F6i ir ir,.d <br />_l h.t. Dd *ill otx.i. E 6' coop@dio. i6'ec ! Eqi.d by Sdbi 1700 of tL t t r Co& 6. ttc F&.!rec of <br />t& wt 6. snth ti FDn ir i.r.d M, &qta @E9drbo iErc nir -d,olt, dDba G <br />zd otl <br />Ll(r:slrr,!)tlli!-rc-Bu}.lr!&\uu: <br />I hdby !f,im undd pdrXy of Fjury thn I o lica..d uds tmatio. of ClI.Bs 9 (@@ci.g wnh Sclb! 7000) of Divirion l <br />or rlE ociE tn PD&rd.'6 Coda .n E, [.c ir i tull bc .n crtul <br />?_t c1A cto <br />l(drl\ih(tr'rl'.r'nr n.rtnrl'.\o'Int\h'.hrhAt).'ti,r(^\'r(l.ln l nrrrn'f.r,r\l{'\t'n,n'\rrx r0 <br />Nrt6' ohFa.li.n Fovtiod ofseli.n 1700 of{E l,EE ('ode I ilull. fonh$nt onpl, shh lhor Fo!nbN.. <br />wAtNlNG F.itur ro at 6id' oEFIion ovEB. i u wtul. rd tldl slixr e dploF ro qini.d pa.l- -d <br />civil fi,q o, ro oc b@.hd rl6!&d &llit (i100.0@), i! .ddni,n ro tlE .od of onEorioc d.ue6 . Foed.d fo, tlE <br />sdn. 1076 6lrl'c lr[o. c.da imd rd <br />L/t e/tl Iu,z-LLt' <br />(qlsrBlrcnol(llllllolc[dr.a <br />I hally .lI@ uxlq parly of Fiury rtd ttc n r @Ern6rbn ladrB .gcy er E F'tmc of rh. srt br d'in thii Fna ir <br />iqd(56 1007, civ. C.). <br />AIEUCANI.IICIJIAUO! <br />I h.rdy ed u& p6rly of Fjuy oE of ll.. bllosq &.Lrb6: <br />Darotion P@ire^lhdor NorilicaD. r.&i.l R.slbrion, (ThL a0, Por6) <br />-R.q!iEd <br />Ldlr of l'lori6.rir <br />I ca'li rhi rh. t dsJ ,tguldio6 ,t3rdinr ddr6 romr.l r. Nr tpdi(!U. ro rhi' FDj.tr <br />rhd I tn. iad llir pplt:rioo nd ru. thr tII .tov. itrfotubtr ir cdret I {c ro otr'pb unh d Cn, .!d Co6r, <br />ad $d. t,w Eki.a ro hrildi,C odMi'^ ,n ha.by.u.ioria E .sr.iv6 of $n Cny.d Coury ro drr <br />'pon <br />rlE <br />APPROVALS DATE ID/SIG. <br />Appliances <br />Evaporative Cooler <br />Furnace ,J-"/,64Atv*/r>- <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 />lype ll Hood <br />Grease Duct <br />Fire Damper <br />Openings <br />lnstallation <br />F.D. Drop Test <br />Above Hard Lid <br />Rough Mech.4rxlq €*w*/o> <br />Final Test <br />Meter Release <br />th*hd Gf\of*I dL.--' <br />Notes, Remarks, Etc <br />.hov. MriorEd FoFry lor <br />Applicer r ASar SitEru.: <br />P@iedE{Fb):J *., t/ Lel/ I <br />MECHANICAL.INSPECTOR RECORD <br />COMMENTS <br />Metal Fire Place <br />Above T-Bar <br />FINAL <br />l,ri.r'r Ad&6 _ <br />t6r sUFl lo tlE w 6 orp@rbr Ls of cd!6mi rn +R rl! if I rhould bcod sqd io llE <br />T+t+ <br />^/ <br />H <br />r'+- <br />a-L'/e