APPROVALS DATE ID/SIG.COMMENTS
<br />Appliances
<br />Metal Fire Place
<br />Eva porative Cooler
<br />Furnace
<br />Com ressor
<br />[4isc. Equipment
<br />Duct Work
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rou gh Ductwork.It'1 lN wc(U4ttlr{
<br />Vents I
<br />Toilet Room / Clothes Dryer
<br />Residential Range
<br />Other
<br />Hood
<br />lHood
<br />Type ll Hood
<br />Grease Duct
<br />mperFire Da
<br />Openings
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech.clp lt{
<br />Final Test tt
<br />Meter Release
<br />lrTn)te) /FINAL 'pll9,?>)
<br />Notes, Remarks, Elc.V t
<br />a
<br />E5A
<br />MECHANICAL.INSPECTOR RECORD
<br />OWNEf, IUILI'EI DEI.CATATION
<br />I hdrtt .tf6 6d6 F.ty of Frry itr I e aaF tw rlE Coffid lid te for lE folbdt le (S-.n)tlj
<br />&!in6 ad h!&irioi Codc): tuy Cny or CoEny rttt rqltE ! Fni lo @drucr. .la. t4.oG daroluh d lF.n 6y
<br />rEtlE!. Fhrlo !! iB!a...lo Eqli6 U. +di.d br NhFdi to 6L. tir.d ftaEr $rlEqtlEiliE.d F arr
<br />lo 16. Falirb. of 0E Cod-ld . Li.E .d r:v (Glr6 t. Cffiii! lnn Sdb6 ,0O ot Divbion I of tlE E6iE -d
<br />Prcfdaod Cod.) or lhn h. q d! i adpr rMln Dd tlE t tir b. iE rlhGd qsrptbr. tuy violrti,n ofs..rh 70! L5 L, r,y
<br />.rplid for. Fni $t'r6a tu .plirr to. civilplslyof d reE $6 fiv. hi.trd &[r' (1500t.
<br />l. ! orG of rhc FDFrr, or ny .@10)6 *ih q.86 6 rh.i $L @6pdEaio.. wi[ & 0E w arl ft mdc h Drirld e otu fc rL (Se7O44, BuiE ad ftoft-ird Co&r TIE Cod-l( r Li@ La .b6 El prly lo o ow or
<br />llEFlFy wlD hill d isDB dEq tn dE dc.d! q* tim.ll or t.xlf or ll!D!3h hb d h6 om at,rtFr..
<br />Fovi.L.l rhd sh inF.u-Et eDi inq'd.ddolt.d td 11. ll hoxaE.lrr hrildiry c rgDrcEr b D! wthh oi. )q
<br />ol.@plaiE, d!. O^€ B{il& wiu hE tlE hrda! olFwnt dlr lE d dE <!il ful hild d inFE dE FDpd, tr llE FrFo.. or
<br />l. s own6 oarh. IrrFny, M.rclBiv.lv mnrr&1in8 trirh l(dE n (fu&1oB r. (drud rlE l'.jd {sft 7rA!.lhsinG
<br />rd Ark6in ( od. thc(bnlr l(n'r t-to!.l.* &Ercr.mltrouornqof F!Fn.- *ho tu'ldt or imrrc\drhdd'n.
<br />lnd nno odrd! lor och t,oFr uih. ('o r&rt(,lkdrkrl pu6ud rorh.(\fln<r$ rLk.M t*l
<br />I crmp, unr6 scrr,n * / _.n & p(' ro,rhn,cun ,r)',. \., <-,^- I aa //11<-
<br />,// \ ltonriER!'( otlPtns^l|(rN
<br />/ \\ prr'r,rR rl(r1
<br />I h.Eh! rmm uhJd p.nlhJ nlFjur) an.uirh.l.tl,'*jn* dNlur'^E
<br />-l
<br />t E -d *iU oiri . Cari6... of Co@r lo Sdf-rE!. 6. Etd dro.bo. . Forid.d nr hr Sdta l?O of E
<br />trto. C.dc. 6. dr ,6f6!le or$. wt f.r eltt tlF D-Eit i is.d
<br />! hrE.rd will tuirin so d onvqrrif ilEllee ! Eq'liEd tr Selnr l7ooo,ltr L.hr Codq tu dtFfoffiot
<br />llE rgl 6, *hth ttir FEn i i$d My mrt6 orpalinr ilffi oir rn Fliy Nrhs G
<br />I .ari$ th. ii tlE Ffti.rj.4 of t Nrl fo. stih rhi, F6n b is{.( I !|rllmr arpby Dt Fs i.6y oeF
<br />e a lo bdod. sbirl lo llt mrtd'6nF lnion L*! of ('!,ihme !d 4rE lnr ial rtDuld heoB $UFl lo llE
<br />E*6'oiFuaionFlirioEotscii,n!toooflh.trbrCod..IJrll 6rrh$nt ondy wnh rhE FoviioE..
<br />civil 6nq up r. @ hlidld dto6..d &llar 00,000,. in ddnion ro rlE.o,r .onFE ntr d.,!.e6 B F.ti<1,.d lor rh.
<br />IEGI'TAI@
<br />I tsdy.frrD !& padyof Fir, tb I o lid 'e Fovnn of Ct+ce ( G4 lii Scdb. rQo) otDnibo I
<br />ot 0E B{i6.d Prefdio6 cod.. nd 6r lica i. h tull 6r!..id.lbcI.
<br />c(}Nsnlrlloll l raDrir: l(:'x{cY
<br />I ldlty triD '!& F.lyof Fiwrfi rt r b.6dtE-.lda rcr S. rbFtuc of rb wt brbci[i FEi ii'!d (Sc. .1097. Cir. C.)
<br />A&IJCA!(I.IIOJAASO!
<br />I My.eE uli,. pd.!y of Fr!r, oc oldE blowint .Lbrb6:
<br />DsFlirion P@nlAbqlo. NorifE.lb! Fcdad X.qlLrioE (Tnk 40, Pat6)
<br />-R.qoiEd
<br />a,..l6of tadi6di,
<br />.d (tunty to .irs urnn rlE
<br />2 la6,/s- r
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<br />I I
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<br />Pre-lnsulation I
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