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MECHANICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OwllEN AU&DET DSITA|IATION
<br />I tolby .[m o!d6 pdly of FJlrr Or I o q.ryr t@ rh. cdrr*r6 Lia. t* tr lb hlo,ia lE.'(Sa.ro3l.5.
<br />&!trB ild PrD&-iotr Cod.) 4,, Cil, or Cody *ttt! ,!qiE . FDr' to o'ii.l. .Xc. inFoE d@li.l or dri -,
<br />nt!dr!.. Fhtr ro il! &naa .!o Eqli6 tlt +?li6{ for $cn pdnt ro fh. risn d nraEr fi. b o. dE i! li(a...l FrDd
<br />lo rlr FrirbB of 0r Collerln r li.n.d Lr {CLd? e. ClltMila ean s..rb! 7lm of Divirbr 3 of dE &!iE rd
<br />ft.f.lrbu Cod.)or thr lE drt b d.&F lhirtm -d ! b.n br $. dt*d acqih. A.y vbhjotr otscdior 701L5 b, .!y
<br />.pplicut for r pant &bjct l,E pplicDr lo . cjtil pa.lt, ofel mc ltE liv. I'uldEd .bllit {1500).
<br />-1.
<br />6 (ffi of th. FoFry. d 6y at9t rd with *a6 ! Urci -k 6eDq!.aotl. *i! & 6. rqi -d !t -tdE ir 6r
<br />itlqd.d 6 oGld hr sL (Sa,7044. Bsind od Prbft.rioE Cod. Th! Co dcrd! Li@ L,w &d nor epl, lo a ouG ot
<br />rlEFlFiy eho t Ur d in!.oE6aa rd who dc *h wr fid.lfor [-rltd lboqsi li. d lE ou.4brq
<br />Fvi,.d thr *! trFD€rrd. e d irGiLd coftld 6. ..L l[ hor4€, rlt tlildir q irFs€d i Eld vitb c ]a
<br />of qplib!.0EO*r6 B{ilda will t E 6. hnh otFrry rh lE d i. dn id hfi d idtFo( t Fopdt, b. dEF,F..ol
<br />-1.
<br />6 ow otrh. FFry. e qchiiwly @!ir..{!a wnh lk@.d sturrd ro oltnru(l tb Fsid (Sc. ?044. B.!l!E
<br />,d Prot6bnCo&: Tlr. Conlrl.lr'r Lic@. t * &6 nol.tply!o e.*ns otFoFlywho buildr or inprcvs $s@o.
<br />.!d Fho odlrr 6r sl F.l!t wih . Conr-ro(.) li.6.d Fdu.n ro dE Codr..t( r Li@ r^)
<br />-l
<br />acrmpl und6 Setio
<br />.lasf,EEtSqUtAtADO!
<br />OECIJSAIP!
<br />I hddy rlrm urb Frty oaFjd,c oldE 6lb*4 <t .lrrial
<br />-l
<br />hrv.!d will run .b ! CdlificdcofcoMl ro Sdf-lnlr for wl6, @nrpo iu,B Fovid.d aor bySdion 1700ofthc
<br />l,bor C.da ao. tlE F6l:'e. of lh. mrl 6r *nth lh FDh ir is!.d.
<br />-l hlrr &!d Fill ind! woit.n .onF!j6n in'ir'e.. ! roqutd b, selili !7m of dE L.tor coda fo. $. Ff()lrl@. of
<br />th. wsl for wltn lhir pdEil i i$.iL My wsla onFBrior iBlls. Csir !i polty lMha t.:
<br />-,
<br />.diry thlr in th. Ffod[rc of lL worl fc *hth rhit Fnn i.r iq.d I rh.ll not aqloy uy Fsn in oy MF
<br />$.lob@rstirGrlot sit6'or46dhs Ls otc.lifooi.. .xl.rc d! il I nbdd ldo sljd roth.
<br />*o.ta .oqdbo Flvbi'B of S.qbo 1700 of dE r:t . Cod.. I ftl, fodlviii 6qly wnn thon Fvii6..
<br />civil f6 up r. oE hd.lrd rhq6-d dolla! (t100.@0). ii
<br />Llcr!!!Dr0ulaAs!8
<br />DlclarAr&trIt Oy.ftE {r&,a.ryorFjBy tt I E Ld o& Fovib. orcltrrr 9 (oalEit vtl s.did 1@) of Dii,it ,
<br />of rn aBitB &d Pre&rbr Cod.. od 6r lte L b tu[ bc Dd.ft.1
<br />-,2/25/t?
<br />coltrBlJcuo!.IItIld E
<br />I h<!!, .fliE 'E& FEfy of FE!,ry U'r $a i . odrstiE Eldir {oty tu ut pato a. of lh. wt b. riit fiir FEt a
<br />i.Ed (sd. 1097, civ. c.).
<br />AIII.ICAIIIECIa8AIIA!
<br />I i.rlr.frE u&,.o.ry ofFjay oE oftt buosi.t d-Lri6:
<br />Dsmltbi Pmil}Alhdd Norifi(ri[ f.d6.t Rcrlliid {TtL ,{0, Pn6)
<br />-e.$i!d
<br />L.rta of tl i6.rir
<br />-l
<br />cdlrfyrhll rh. tcdqdlr.ruhrF r.add'ns stEsror rdfrivElu. n.r rpph.bl. i{' rhl\,mj.rt.
<br />-l
<br />Grit rhr I lr. od rhir 4Plilid id rd. lr rlE rtor hhin i, ir Mer. I t E ro on l, *it .ll Ciy nn Couly
<br />dtli,46 dd Srn. lrs Ehirg to hiui'B odru.rir4 -d lE ty llnhoriz t?rerri6 of rhir ('iy .d Cour, o ata qrn llE
<br />dl,ov. mtion d FrFny for
<br />l\f Lrr r.r E6r S,tn.nur.*,3/95//7
<br />Appliances
<br />Metal Fire Place
<br />Evaporative 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 vlLln Tl'/\,t4rrlO >/
<br />Residential Range atrr ()l
<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 /./,-l,c ^7dtot
<br />Notes, Remarks, Etc.
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