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APPROVALS DATE ID/SIG.COMMENTS OWNII BUILI'ER DII.CATArION <br />I hq.!, .ltrm u.d6 FlXy ot FJ!r, t[d ! @ BanF 8!n rh. Co n<rdJ Licok Lrw forlh.fi,llowinB len (S<70!l t <br />Bruha !n Pio&sb! Cod.) <br />^tr, <br />Cily 6 Cqfl, rtth Fqsis. Foi to @rEnal. .!c. irForq .la6li.t or lq.i dy <br />ducru,t, Fir ro ni irl]lR .Lo Eq,iE tlr. +lid for nlch FEn b 6lc r ii8i.d r!s6r fin L d rlE ir licqlcd Frld <br />ro d. Fvi]i.E of rh. Conl,Irdi LiEn.d t s (Lp6 ,. Co@ir8 *il[ S<iirn 7000 of Divitioo I of rlt guilB &d <br />Pb&sio6 Cod.) d Oa h. - tlE a a.4l rhdr,&oli -d dE t ir fo dE.lh.d a.nqrtn Art viollrbtr ofs<ibn 70tl.J br.rt <br />rp?lk it for ! Fnir objEls thc .!rlic."l ro r civil F ny of @r mr. tbi liv. huid,rd .Lu&r (l5(]O). <br />-1. <br />E oqG otrh. Flsrr. s Ey qrrlora wirh s.a6 s rlEi -L .mFurioi, $i[ & llE rrt .d llE frlre i ftl <br />irad.d 6 of6d fd t& (sc.7044, BEiE nd Prof6iD cod. T!. Codr.dd'. LilG t * dE @l @ly io eogE of <br />rt FlFty rio h,iL! a iF!6dE-q rn ln.6- rd 6t tielf o, lsdf or &nug! hir d hr 06.410r@ <br />piovlLd lhrl &cfi isFo@bcbti atdntlEqr 6, sL. Il. lErlE. dr hiiklii, or itrFrDEEn i &ld sitli! oi. )6ofs4&b.. rh. orc Brrldd *i[ bE rlE hib ofFovt rh lE d dE dd 6l hild n iryoE dE F!06ry ft. ilr Fr!.rc of <br />_1..o{6olrlEFlFty.Ga.btiEly.!trr1aB,illiE.dofr-6lo@Erd EFj.(lS<. 7044. Ari- <br />rn PDfrrnh Co&i TIE Coihcloa. LtdF Lrw do. mr lrrly 1o o owi.r of Forary who !oil6 or ihproE rh6@n. <br />ed *ho oe.d! b. r.t Foi.d! rit. CoE-rd(.) lt€!.d FrBr lo dE Ccrf,dorr Lt@ L.*). <br />_l m.r@pr ord6 Sarion_. B & PC. forfib,!&n <br />D.r.: Ornd <br />.ua8aE8s:caulElsarja! <br />DECIdSAIIA! <br />I h6.by rrm undq FndlyofpqruryoD.ofrtcfollowirB &clu ioc <br />-l <br />lry! ,'d *ilt di[.b . Cqii6.rc of CoEr ro sdf.brr! f!. Er6 dt?a!.idr ! FviLd for b, s-riF ]700 ofit <br />t bd Cod., for oEF&nll.@ of th. xd(t fc *tti rlE Fni b 4.i.4 <br />_l lEvc.ndrillmu rii ed.d coftrEa.rion Equi.d by Stlioi 1700 of rh. LrDo, Cod.. for $c pEfotimc. of <br />bn irfu nb nd Dolky tuahd &:rh. wI lor $nth rii' lcdn i iE d. My Ntdr <br />_t cd'fy du in rlE FfolrEa old!. rcrl ft. wlt.h r,ta F6i n itud. I rh.ll Nl dlploy m, FDr b oy ffi <br />$ ab b..on rulidr ro rhc wrt6'.oEp@riod Lu of C.lifomi.. &d tAd tnd if I tlbuld broe sbj6l ro 0E <br />m,t6' onpGair FvirbE of SdlbD l7m of llE lll . Code I trll ft.thshh oryt wtl tlbr FoviiE <br />i! 6Lr tuI. .d lhrll sblrl d or9bls lo chid Fdb rd <br />ioE &q6 E FviLd 6r lh..hil R6 up lo oe h6d!d rhousld dolh (ll <br />tlc!&$Dlo!@aIf0a <br />DICIASAIIO! <br />I hq!b, .rEE u& ldty orFrEy tr I E li.d irrb Fviio! of CLda I (@Erdi!a sil s..rbd ?0oo) of Divih ] <br />ot <br />'h. <br />BuiK dd PmfdioE ao&, .!d o, lte i. in tull aora ^y <br />colErtqq&ul,tla1Ac.Acr(cx <br />I bdrty.fto @& ldyof Fjur Or ta! i. @dfiritr ld3 tcy for tb paft.Et of lt wt &. "ti.h lli FiI i <br />iald {S... 1097. Civ. C-} <br />ATIIJCAILIICIJAAIIO! <br />I 6y .frh ur& pa.Xy of FiEy c of thc folloviDr &.1-!i@ <br />Dobhio. PmitlAlb.ror llorifErnb. Fcdsrl R.AuLrbB (Tnk 40. Psr6) <br />_RcquiEd L.fl 6 olNc'dfidiE <br />-l <br />€liry$r E t&d ESrLli@ Er.dr,3 at ror lqmrrl G d SlillL lo lhi! Frrr <br />-l <br />cdry thr I h!! 'ql Oa elirbr d ricrhr $..toE hlomlb. i .qEl I *E lo dtpl, wi! dl Cly.dd Coony <br />ord'nr cs md Srar. lisr r.lrtns b!'lJtrlx ()tr{'udtrnr.DJ hd.h\ itrrhnv|qrN tr.r.rrh,\ ( iJ niLl (irud\ h dnd F rlE <br />sborc @tion d FoFr, fd <br />Pdid .'E(F!'r)ca+4a/q <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Mrsc. 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 Ranqe <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 />blLrltq 1 tureloi <br />MECHANICAL.INSPECTOR RECORD <br />Other <br />FINAL <br />Notes, Remarks, Etc. <br />L.ndd'r Ad{Ld: <br />F