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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.OWN[A AUILD&R DELCAMTION <br />I h6rby.rftu {ndd ldty of Fi'ry rhr ldc!@P| nDE d!. co.rod6 LnqE t^ 6r dE folbriB lEo {Sc.loll.5 <br />Boi.s .!d Pro&ri,. Co&l: Ary Cn, o, Colln, *ntb r.q!i6 . F6i ro odnE .116, i!{.or.. &r.lii or G!.i ci <br />lirudu.. Fbr ro ir! i!r!e., &o r.qsts rt applicd for.uch pamn ro 6L ! riSld llnmall rlu h. or nE a li.d.d Fe!,n <br />ro $. Flviria of dr Co rard! Li6!.d LN (Or+iG 9. Corlttlrdin, wib Sdir 7000 of Di!i.b. I of rlE BcilE .xl <br />PrDl6bo Co&l q th, lE d tlE t a.q. tlEltoo.rl t,l b.! b. {r dlg.d 6.!Bir Ary viollio! of sdrih 7011.5 by dy <br />lrpliq f r FDir abj6t rlE 49li.ul ro . .ivil p@hy of rcr Nl! rtD fiv. hurH &lld (1500) <br />-1. <br />! oc ofdE FoFty. a oy(qbla *nh rt6 d tlE- -Lol4@rbi. sO& tlt wl.d r-'dwa@r <br />lrdd.d d otu &' El. (sc 70a,1. 6-iF .rl ftlbb6 Cod. Tlr cdrn ,rd . tl.d. Lry dod e( +ly ro d ogc of <br />th.FlFry who hild or i'4r.6 lhc6G .!d stb d6 nrl F* titulf or hc$lror thrc!8h hn or lE oM oplorrc.. <br />FoviLd rntl a.t nryoE|BEd irad.d cotu f.. rla lt lDw. $. hr,.lra 6 ilglErd i-ldwathm r-of.oqldi{ ltE OqE Adl& wO nE ft h!6 ofFdira th lr d lE lU d hild d iryB. dE FtFty 6r tt F!Do..of <br />_1.6olEofrLFln-ty. dq.tliEly@nr-:riI *nh [..E d @nrddro 6 td rl' Fdd 156.7ora. &66 <br />Dd Prohi. C.d.: TIE Co!{ridq r Lt.4 tt* 6€ Dr +pl, lo - orG of FtrFry wlb h{ildr d iE .oB llEqa <br />.nd *t @ir*l! for &.h Fojdrt wirh. Co E ro(,lic6!.d pduEn ro rh. (onlncl('' Lkde tio) <br />-l <br />6 crdF urdd *.rh!-, B & F C fo. rhn '@n <br />D.r. Ornd <br />IaBf,ESLgDtrESSAlO! <br />o&(:la8alro! <br />I hd.bt !,Irn lnda Flhy orFj!,y oE olllE folhsDg &.Lr.lbE: <br />-l <br />te -d*iu uir.a. Carl0.dc ofcod ro Sdf.Iss! &. EiEr' dpdaE\ - Flvid.d for bys6iD !700 oldE <br />lrto. C.dc. h. U. Ff!.G ofdr e{rt &. ,tidt lic FEi a bt d. <br />_l h!(.d *ill dimn, *ortd, tuhp.drrion ill!ffie s rcqlind b! Sdrbn l7O0 of th.lrlor Co<|. fo. rbc Ffonle. of <br />dE wt fd shih thi Ftil it b'.d My wld orpcri.r iElm (s; .i Flty tunbd c: <br />_l Grit fii t rlE Fro,:tl.e of rh. m* fly stkh rhL Fhir i! ii$.{ I !t ll ior anpb, &, F$n i! Dy tlllE <br />D .rotdlrr$jeI lo0Eat6J@qqlrir Lsofc.libdi.. -d tElt. itl tud.l tc.@$tixt totli <br />N,td' @dp6.b! FoyiriE of s.ci, 1700 of E trt . codc. I trll ftnnwni orEl, *it lhor F!vii.B.. <br />cn fE '+ lo m hu.d.d lh.us'd &llr! (tloo.m). i. rddii,. to llE con of oEF!.I b6. d&.rB 6 Fovild 6. tt. <br />co&, irrq6r ud.norrEr't <br />I h.rnyrrE6ud.rqtyorFiEyfir I E [.d@da Fwin of OrFa o (.o6tl!4iit etb s.6i[ 7@) of l !e] <br />or ft AudE !d PD&.br Co&. !d o, ltce t b tu[ fo@ .!d !rel. <br />r**c!.-, B*,,,1tr4g cB ?nteuk:e+7 14 <br />collrIltcu0!.rEgIIrG.AGEDG! <br />I hortydfrDlrdE F.f,ofpai$yOr tt ! i'. @drudb! b.liB.acy tu lll. Fftd.!.. of tlE 6t tu l'hit ihit Fti b <br />a-Gd(56 1097. Civ. C ). <br />AIIIJCAILDICIJSAIIO! <br />I bct, .trrn !,!dE pady of Fju., oa of th. aollowios d.clr.lioB: <br />Ddmnb! PErig^ltd6 t{olitEnb! F.dqrl tr8lhiB (IiL a,O. Prr6) <br />-R.qui!d <br />LtflE otNldif(nbi <br />-t <br />.drit rha fi. f.ddrl ,lsuldia ,qrdiie 6td6 lftr.l a. ml opl.ttL b Oi' Flirt <br />ord]lrllG ,'d $rr. ltr RLns ro h,ikli,u co'*u.tntr ,n lE.b, lrlrriE <br />.borr idio'Ed FFty fot <br />6tue#E't4 S <br />:"::;ffi;*- <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulation 't' lr-t q DeUr? ,.>. <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes D ryer <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 <br />I u\-/ <br />Rough Mech.Q-l q-,q ra.u / ot <br />Final Test <br />Meter Release I <br />FINAL a 1E u li,r-H+AA tile/ <br />Notes, Remarks, Etc I t t ,./ <br />COMMENTS <br />c,*. !at\i../JLlc ut q.r2r,t z 1b . , 1 <br />Po'- *,-,fuu*- Q' / o r / -z,td o <br />lplalb -a fi/, )