APPROVALS DATE ID/SIG.COMMENTS (,WNEf, BT'II,DER D}:I,('ATUTI('N
<br />I h.rchy nn]or undcr llctrulry ,,1 prrjury rh i I m .r.nqlr hun lhc (ln r&tns l.r.nt l i* tur rh. nllk'*in8 rciq'n 'lscf T rll l 5
<br />lluqn6r sd hofcr\rn (iilcr AnyCirt.r Counry rhtn r.!uir.s,Isnir ro \1)n{Mt. dltlr, nllprnr. &nFh\h or RF, lny
<br />{tuJft. Fd h rl ssu!r.. llqr rcqutr( llE lptrrmr ftr \(h ltm n' nb t lhEn {rcmn! rh,r lt or \lt n.rk.ntd l't.sd
<br />h rhc Fotri,ns olllE Co.r(!i, { l-(.n*l ljs l(l!pt( 9. Coms 'n3s[hS..rr)n7UDofDrttrnnIolih.Sunk\1lndPn)fu$rnr C(rl. r or (hd h !. rhc i.rn!n lnscfron!trd lhc hrn\ brihralkgd cr.nll)rion. Any vi,hrirnolSerr,nT(lll J hrdnr_
<br />lmli.u n, ! Firnil suhi\lillt !pdi.!nrt',civilIt llryolNr'nn hln rivc hundrcndnllu\lttit))
<br />-l
<br />! ffiof 0E FoFly, r n, drploFi,ft,{E D tlEi sL coop.dbE rill & d!Et.dllt inEc a tE
<br />h.rd doid fd rL lsd.]l)+[ autE$.rd Prolt-i,B Codq T|Ecdrr*rd't tj(gE t r ib.. D. oplylo xffiol
<br />tlE FlFry elE hoildtc i4rctt oEai. rn *rD &8 nd! hrt hierd lEBlf or omurn hk d lE om cnrpbrlt1
<br />pbvli.d lt.r tuh irFoEEdr G rbl irod.d oo,&.d 6r.L lL ll)efu. tlt t{ldlit 6 L$tcrn L 5E * '!'m )do(qr?kil! 0. O*,E Bcilrn wi[ lrE tlr bilar o{ Fotil fi lE n i. d! r, hiA d h+.Dt dE FFry lbr llt F,!6c ol
<br />._.1. a\or&i nrrhc pmlf,ny- rn,cr.lunrcly.o ralrns$ hn(ci*lr ft i.nnr !' .on(n(r rh. pn}{i l Scc 7(ll-l.llu{*(
<br />drl [h'f6\r r (t)dc: Thc ( , iku ! I i..n\c L.!w do(\ nor rt,nly!, !nr{ solfn'B v *h. huikl\( trntrtr.r rhIrof,.
<br />rhl rtx, !r, n r\ t tr 1u.h pflrJ(i! { } nh ! (i,nrtu1on, lNned p!rui,, r. rh. ( irkrroir Lrcnr I n$ )
<br />lx .(n,fl u .r SNrtrr li & P( nr rhr ru^sn
<br />l)xk ()sn.r
<br />IIIIIE8I:j;IUIANAXIOA[EllJxarxxl
<br />I h.r*y .rm uid.r pdrrt of Fdtny oE of rl! folloriu debDtE
<br />lhrvcudeillrruinrdinu(cnifEsrco!(i'nsnrrosellltr\{rc,,r*n.kr^.onyEnuri,n.05 [,nvll'i l htsc.rk .lTt$olrtE
<br />I!h{ CdL, f,, rlE FrfdmN of th. uod r,, }'hth rlE lErmn r ii\ad
<br />lh.E!.'ltrrllrornr oso,lcracof,tii\urrninrurrnr.!\r.q!trdhiS.crxrr7(rr.frh.lrfitr(id..rtrrhttln{rNmc.l
<br />rls work Inr lhihthi\ pcrn i\ n{hi ntysorkcE'conFnuri ns!run..(rtr ul F,lit nunft.r r,.
<br />P,'lrrNumtrr
<br />-titnn.
<br />t%l*"u,
<br />'*' -'* nu",nEn!.r rh *'trr htr q'hrh rhr nci,nr n ri'.d. I \h!rr tu{
<br />!' r\iotr-{rE\ubrdr.tlrr.lts oryrndnnL*lu,(lhtmtr rld+mrhd rl I
<br />cn{'lo} dny F!q,n in uny 'Bnrcr{hrld trro.r rubFt n' rlE
<br />s.r6t oi+6rrb. Foviria of S<liln l?@ of rh. Ua.. Coila I ldl fdd$ih @trply *ih lho. Forta.a
<br />#dwffi:*eu,-v-24,-
<br />Ltrldtlrl;udrxal;ItlBDI(:IIAIIOB
<br />I rE6h, rff,n uftl.l Fdxy or F iny fi5 I .m liuan un<!.r Ftrhm ol (l[Fd 9 krrnmrn8 *nh S.clion 7(xrtr o, On i\i,. I
<br />oI rhc BNirr\ rn Pn,Lrir,B CdL. rrn ny ltcnc F m tull foN rn.llsr
<br />x.**L-Zd 686 ,)
<br />)<u.r.7 8 *"X
<br />cqNmclllxu&0[ri-aliElcl
<br />I hdr6, .fra 6&. lqdy of Firy d! tlE! b r dlrr&rin lidit {tr, tot llE FL.m ot dt Et lh. *li.t tlir Pad i
<br />ir.rd (sc. lo9r, ci", c ).
<br />ATTLIIAILDEOA&IIAI
<br />l[: )lnn 'trrt[r Fnrht!r ff,Bry !B.lrh. folkrrt Jc.hartrnr
<br />lhNniri( r I'cnn(!A\tr{o\ Nor'li.rrnn, I.c Lrrl R.SUlariinr rrih,lr |nn6,
<br />Rcq!trcd lr($of M{rli 'n
<br />._l.cnrry rh&r rhcLdcrdk8ul!'hnr NSuJinB ertr{.( rcnmrrl uE ftn E pltrbk kr rhu pmF,,wl-)*r i rhr I llw Ed rhn.ppti.trid.ld illl. rhd dr.6oG irf6.!rri,n i old I {E lo onply *i!.ll Cilr.,n Cdnly
<br />.d Sd. hr! Elrrr ro billr8 orsrrri4 -d hylrh.da EFE nrG. of nt
<br />rt E E.linEd prDFny L, idp.rrir! Ii IrE!
<br /><^ml'.trtrr or S.nr S'rtur$.tl 4ou ,X, ",
<br />"'r*ff/6**
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment9Z6 A,a.l <.#?n 9ltzltt /,t4r(D
<br />Duct Work
<br />Pre-lnsulation 7/tt/tz >)rf(
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rouqh Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Ranoe
<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 />Rough Mech.
<br />Final Test
<br />Meter Release
<br />FINAL t/'6/n AX$
<br />Notes, Remarks, Etc.
<br />MECHANICAL-INSPECTOR RECORD
<br />--T-
<br />td&r'r Ad.is
<br />-
|