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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OtlTIER BUILDEN DEII'ABAIION
<br />I baltt.ftm odr pdly of Firry lha I m qa$ tlE rlE cdrncrd Li.@ Le fo. lh. folb*i'B tB[ ise'o],,
<br />BGilB ,td Pntei,n Co&)r Any Cny d Couny sl&h EqliE . Fnt lo 6dtu(t .id. 6r.!t , d@lih d ry.n ry
<br />dru.r4 Fbr ro ir! i$u.rEc. Jlo Equn6 rl' +!lt.d for *h FhI b fiL. tignd nroEr thn lE or sb. i lta!.d ,ae,.d
<br />lo iE Fovirb6 of rt Conrr*rdi Liaid t w (Cll+r6 9. C.rElwin3 fith Sciir ,Om of Di{rb6 ! ot dE E€i6 D<l
<br />PDtabB Cod.) 6 r[n lt or.lE i qqrpl llEdor od tlr t-i tu l,E .Lg.d adBbn. Any rtrbbn oasdba r0l !., by u,
<br />!9plicul tu . psnir tubiel! th. rp?li.sn lo . .ivil pdlry of .or mE fir! fiv. huid.cd <lollr! (1100),
<br />-1.
<br />! ffi otrlr FDFry. d dt qnphla win w.a- a 6.n .L onpa.ebo. *i[ & tlr st .d lb G|EE a lDl
<br />irdd.d r or6.d for d. (Sft.?04,{, Bsi6 6d rreftlioB Codc Th. codndoir lj<a* Lrw &c nor lDl, !o d om6 ol
<br />trE FlFrr who htilr d it wItElc. d *tD.b6 r,.n Et liudfor h-*lf or llDr,n lli d ta on dplorq
<br />FoviLd $d rBh i!F.r.!6G 6l nad..l do&!dtu !L. l( ho@.rt t iliBa in.o$.cr iDllwi,lnc,c
<br />ofotrpldb( tlrO*E&iEdvi[ h.El&hnr,ofFvigrL h.orrb.dil6l t ild 6 ilqnE ih. FFy 6r tli F F. of
<br />-l,
<br />Bo\corrhFoFry. e@iriE o r*rEs whl [.donxrN|o @dud rlr F!.idr (s€.70a4, &!g
<br />rod Eolrbo Co&: It. Co .rcoi. Lidrc lrw .tos sr rr?ly to & oma of FoFty *to blild. o! ntrprcE thd.oi.
<br />ed lto ofti! f.. o<t !!hu *ii . Codr-rd(!) lia.d F,$d 6 l[. clrrn rd t Lie te)
<br />_l ,n.rcnfl und6 serion_. A &P( forlhnrcen.
<br />Ihl. Or.d
<br />!!E5E8I3!!I[!d!AIrA!lIClJIAIlq!
<br />I ho!b, irm u.& Frltt of Friry oE ot tn. roU,sry &.blloB:
<br />_l h.E Ed will uirt b. Cqrifsn. of Cod5 o SdI-liqr 6r wlit @n!..r.lio[ r Fovidd fo. by SelbD !700 ofth.
<br />Lrbr Codc, 6. dE DdfdGr oto! sqt tu *tit dE ,s!it a i!c.t
<br />sd willm.i.rain woitd conFE.liof, iEumcq s Equn.d by S..r'o..!700 ofthc tdor cod..lor ltl Ffotlffi. of
<br />lor *hth thi3 Finn ie iB.d My wtd onFlrion iEllft. uid rd Fli)f C,I
<br />//-/- 20/q
<br />-t
<br />.diry dd in rn Ffotu. of th. wo* fq whkh rhb pqhn i.&ucd.I $dl,or oDploy&, Fen in6yn1ea
<br />b - b be.r NliFr r. dE wI6'6q6ri.r L*. ofcdiftlmi, !d gE 16r if l.hod<l b.cdt otirr lo tlE
<br />mri6' @DFlniJd Flviris olsdir l70O of rh. l,!q Codq I ftll. 6.tn$th @!Cl, rnh E FoviriE
<br />w^nl\nc: F.ilc lo Bc s.ld' oqslrbn @vE.8. . 6L*tu1. t d rlt ll obi.l - <@brs lo ciniD.l Frrb -d
<br />civil rc up ro oE hold.d to!..,n &ur! (ilm.oo). in .ddnir ro rt .oi ol (dp.!dbo. dm*q . Favid.d ror $.
<br />sdri,in 1076 urrlE lxh,r(ihl.
<br />r,.,.: ]/tz/tq trl'$l.trJn.' '(\ slrl\
<br />-/r ug,:slrlll.D-r&llna
<br />DECT'8AIIA!
<br />I @, rlim lrdE Fdy of Fr'ry thr I d Uca..d ordd F!6br of Cl'?t6 9 (o,lltEiDs wirt s.diD 70o) ol Dniio. 3
<br />of dE Aui6 ud PlobioE C.dc od oy lt@t i ir tul 6lc !d .lt t
<br />z/o7 /o
<br />?,,**aast AZtn-Vr,,u>?zs
<br />COICBUIIIO!.IAAIEIGEMI
<br />t tdtly lf@ 'dE Frly or FiEy Or llEt i. Go *iiD lrtr ..cy 6. lh. Fed&. ot0. Et fti ltif lln. Fet a
<br />i$&d (SE. ,(,7. Civ. C.).
<br />AIU.ICAtrI.DECTdSATq!
<br />I 6, eD ordd po.ly of Fj'ry oE otuh. blbviiS dBtrriB:
<br />Ddmhion P@nlArb6ro! Notafr.lion Fdd.l RcauLrio6 (Th|.40. P.n6)
<br />-Lqtlicd
<br />Langof !ro6.rn
<br />-l
<br />.6liry ri. llt ftda.l EsuLrioB Es.dDs 8t .16 l@vd r. 6r Tdi.U. lo thb Foj.s
<br />-l
<br />cqriry fid I h.!. rad rhb |,pl!dio. dd tr1c rn Oc .tow i.rodion i. .mcr. I .sE
<br />6die6 &d Sr.r. Lts rLrirg ro hrildirS oMrdbi. od hdlby ulorh. rcp.*!iiv6 6
<br />l6oE bdi,!.d FFry &. irrdni Fpo.a
<br />Aprli@r or Asci Siln.r@:
<br />Pdba6EE (Fir):-16"#:
<br />h.omtl) *'rh.ll(''ry md (iunr)
<br />frhirCi) udCoyn') ro dr6 un nrh.
<br />,d. sl4r?
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Pre-lnsulation +lillt4 Tti-,ar/rY:)
<br />lnsulation L I
<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 qlmln \/Xrv*A'1rt b)
<br />U
<br />Rough Mech.
<br />Final Test
<br />Meter Release
<br />FINAL <ltdu n n nualTZ t)
<br />Notes, Remarks, Etc I I U
<br />ID/SIG.
<br />Duct Work
<br />I
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