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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OIVNER BIJII,DF]R DTT,C' RATX)N
<br />I h.r.h) rllirnr tr cr pcnJlrr.l F*rJUrr rhJr I rn, rrc 1Pr fro,n rtu Coitirkrs Li.ctrsc l]! lor rhc lollo*ing r.! .,1S{ 70.115
<br />Bu\rr\\ rl P(,fc\\i,,n Cod.) Ary Cfy.r ((an y shrh rrlutr.! ndnrit b on{ru.r. lllcr. inrpolr. dcnx,lnh r,r.'n rr)
<br />mlictrDr l(trrrcnnir \rhjccr rhc n|rfli.rirt) rrivilJr rlryol nor trtr rlm fivc hundrcd ollir\(35{xr)
<br />-1.
<br />&c o*mr ofrhc lmltny, or my chplortes enh eascs 6 rhcn $b @qEnsdio.. wil do oE w,k rn dE stEt@ is to
<br />i.r.rd.d o.ofr.Ert lo. eL (5(.70{4. Busincss d P,laBsions Con : Thc Conlrmlols LkcN Li* dfts ml tpply ro m oemt oa
<br />thc prcrEny *ls hilds or iqm\s $c@n. dd sho dcs sh hrl hidsla or lEelr o.lhmuSh hir or h.r ovn.Drlor.cs,
<br />!mvid., rha. such in{mMaia N mr i .id.d or oficrcd ftr sk. ll ,FE\s. rh. hiui.s or inteEmnr i. sld within om rd
<br />ofconglcrh,l rlE Owr Buithr wiu hdw 0. hldcn olFo"ine lnd h. or she dn ml hiU or i,pmw lh. IqEry 6t lll purrbe ol
<br />l, I osncr or rh. pmr.ny. m crclusivcly conrru.ri.B wnh hcnscd conrEchF ro con(tucr rlr pmJc.r 1S( ?o14. B!$nc$
<br />0nd hlfcsi,n Codc: Thc Conkacrdr\ LiEn\c Llw do.s nor aprly ro dn oqmr oi prolr ywho buildsor impmvesrhcrcDn,
<br />and who con!ftcB ror such pmjcck wilhr coftactods) liccnscd rusu! to rhe conrEcrofi Liens L!w).
<br />Imcx.m und.r Sexon .B &PC for
<br />'his
<br />rcaan.
<br />IIOBtrE&::g)IlIIIIll:Ill)X
<br />DICLIBAUg!
<br />I hcrrb! rllnn uddcr ncnnlry.i pc{ury unc.frhc lnlldvir! rlc.lmridr!
<br />r.,hi ( i"1.. t.i rrr n. i'r tr. lrl,ru."lli1$\i,5 1,r,r1tr ' h...d.rl
<br />,/^,,,.und{illn nraitr workc^ co'nros.rion insu,otrc. f,s rcquircd $y Sdion:1700 olrhc Ltrhor Cod..lor th. pcrfonun.cof
<br />n iNur.tuc cMid ,.d Flicy numbd ac
<br />c
<br />-l.rnifyrh0l
<br />inth. pcrrbnuncc ofrh. wo,k for whkh rhis |crmir t nsucd.l sl'{llnor cmnloy rnyp.r$ iian,m0nncr
<br />h N lo bcc6ft sutjcd to rhc worlc('.omp.nsurbn lnws or Cdlirornin. ,nd agN thoi ill should tEcom slbjcd to rhc
<br />sortc* conp.nertunpovhions orSdrion 1700 oifi. tjbor Codc.l shall, fonhqilh co'ndy wirhlhos rrF,vhion\.
<br />WARNINCT l,ailurc to surc lor[en compcnsalion i\ unln*rnl rnd \hnll \uhi.r in rr to nnnirul [Emhics rnd
<br />civil fin.s uF lo orc hundEd lhousnd dolla* (3100.000 P'il]aldfiflT
<br />I hcrcbyaifinn undc, pc.all! olrcrjury rhd I Jn liei{n lnds [ovhion orchlpc 9 (conxEncitrB nilh Sdi,n ?(x)) ol t)irtio..]
<br />.r rhc Busircss ind Pmrcssi.ns Codc. u mylicctrs n ir tull lorcc ncll(l
<br />oc ^,*,.7+7gf / nrMAnt
<br />I hcrcby amflnxnd.r Fnnllyolrciuryth0l lhsc h r onsrrudion
<br />issu.d (Scc 1097, Civ.C.)
<br />oscncy lor rhc pcilornmcc orrh. $.rk r(rwhichrni\ Frnrit is
<br />I ediaythd rhc fcdcalrcBuhtions Esr.litrB ,stEstos rcmvll lrc nor apllac$L ro rhis poj.cr
<br />-l
<br />ccrrify rhlr I h3w ead rhh ap!l,Lxrr,,ral{n.rlrxilr.rlin.,lo,nr.tr,r}rr1r.1 I !g@ to comply*ith 0ll Ciry and Counr,
<br />rh,vr h-'trri{nrd pioFny for nrsr€rn)
<br />Arplioir or Ag.nr Srgirru
<br />(B
<br />Appliances
<br />Itrletal 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 E;F
<br />I
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Range
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Fire Damper
<br />Openings
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar Ut4l14 ivq pL&/
<br />)I
<br />Rough Mech.
<br />Final Test
<br />Meter Release ,1
<br />FINAL 4rltq-ld,,./
<br />Notes, Remarks, Etc.tr u l
<br />It->\- l( )eJF. -,r.ftar I -*o\r '2r> )
<br />\\\(
<br />Grease Duct
<br />lnstallation
<br />lrn cr'\ ddrc\\
<br />,r ppr-tc,rni uitL,rdiiffi
<br />I hc$yrnnnuod$ Nn ryolt rjuy rnc o, lhc lollowinA dcclmr ions:
<br />Dcnnniln,n Pcmits Asbc$\ Norilic{n Ftdcral Rttuhrii'h\(liilc t&). Pn 6)
<br />R.qunc'l trncr of Nolif..rhtr
<br />ordh.nccs o.rl Si c Llsr Elaling ro
<br />I
<br />T
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