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DATE ID/SIG.COMMENTS OWITEfl BUILDAR DETTARATION
<br />I hdlty rfl'm ldd pa.!y of Fjuy thr I o q@F tDo rh. cdrnct Ucte lrw tu l!. follo*ia t6r (56.70!1.5
<br />&!iE. Dd Pro(ri([ Cod.): A!, Ciry q Cd!i, shi[ Equiq r Fd ro @,rrBr. .ra. itFo,G &Dlii q rt i !y
<br />lrru.tur. Fbrlo n. itrlt .. .fo 6$t- rh. Tpl6.n t et FEr lo filc..irr.d troer t lEor lE i li.6r.d Frrd
<br />ro th. FoEiod of tlE Cbff&loar Li6!.d rtw (Cfi.F6 9. ClDi@int wih S6rbn 7000 of Divilio! I oflb! BNIno Ed
<br />PrEf..b6 Cod.) rr[a & d iE i a@,( tdriod &d th.ld br tb.lktd aatld@ Aly vblrbtr ofsc.tioo 70] I 5 by &y
<br />@li.d 6. . FEi $licr. llE @li.d ro . .ivil p@r, of d M lhr ft!. Li.H .r b (!5@).
<br />-1.
<br />B ocG ot$. FoFly. or Ey dpb)6 onh w!36 ! UGt $L @otaraion. wi[ d. tlE eDri rd rL !nud@ b El
<br />ido4.l d otu f{ iL (Se.roa4. AuiE ad atobiE Co& TIE Cotxrcd r Lic t& dE el d, lo ! ovnr ot
<br />dEF!Fr, eb bilt d iqoE llEol! -d lto.L-.dr mr hirlld t-.df d teos! ni. a ia os qPbrq
<br />Fovid.d rlld en irFl*r6 G Er b6d d oftrrd ft. da l[, horoq, tlr bildi'l d iEorqd i' $ld *il'b c ,t
<br />ofFrtPlaion. rlt o'*e &ri!k wil bw ih. hrdd of Fnvir8 dlr lt d ar did lll hild o, irqDE ln! FDpqty 6r llt F!Do- of
<br />-1..owof
<br />UE FEFrr, e a.lniE @d-tha willl li.!d on'xr borGEr tltFoltr (s6-,or.. ElaE
<br />.,rd ftltrir CodG: nr. Coimdor'. LtG L.w d.o mr .rrply ro e owr6 olPopdly eto hil& or iopmq thd@r.
<br />6d *ho ollrid! 6. ]E! FoFr! wih . co*aro(r) li€..d Fra-n ro dE coffrdd . LiE4 r*).
<br />-l
<br />n q@pl @d6 Serar-. B. & P C for fiir 'En
<br />IhL: Or!q:
<br />.uaEf,ESttsoMlElallQ!Dlgldlatrq!
<br />I @y .ffim onda !a.t, ot Fj!ry oe oflh. 6ltosinB dclrdioB:
<br />-l
<br />t E !d vill di dr . C6ituG of coE d lo Sdr-lqc ft. wt6 @npoEri<,\ - Fvid.d for by SGiiE !700 ohlE
<br />uo. C.dc ft.o. F6.@ of$. Et 6. *iii llE Ftlt i ild
<br />fg h(. ed *in uiit.i, Nlt6 coerdrio! i.uc.. u
<br />'lquiEd
<br />by sclb. 3'7oo otrt L.bor cdl.. br u. p.fotreG of
<br />dE 6t f.i whih thil Fan . iErd. M, wja it!l]tE. ffi, td poli,{UV Yi
<br />ol lZtzo ltq
<br />-l
<br />cqiry u n rh Frre of U. *orl fq shi.h lni! FEn ir i$.d. I .ndl et al9loy &y Fs i! 8, Em
<br />b s lo h@d..ubj6r lo rh. \o d'@npdBdioi !.{ ofc.libmi!, &d.sErhn ial ilbuld hao suet lo rh.
<br />hrtd' c@F!dio6 FovbioB ots.sid !700 of E t td Cod.. | !h.ll r.nhwnh @trd] wnh rb- provi.bB .
<br />lrAiNNG: f G lo Gc F,td' @mpdrion oe6le.6 uLwtul, Dd idl uhcl e npbrq lo cioi..l Fdi.. td
<br />civil lin6 !p ro oo. bu,r&.d rnole.l d.llB (1100.000). b rddnion ro lli con ol cohpcd.riot! dD.g6 u Fovid.d for tt
<br />selioi 1076 oflh.lrho. codc. in6.r rd rrrorEy r E603/ol l/'1
<br />uclllE.cqMxacraB
<br />[[CI'TAITO!
<br />I lE6, .Itu6 !r& !a.!, of Fiury $. I & lic.d ,e Flrib! of clqla I (c.diEi.a wih s..rbG 7000) of Dntb. 3
<br />of tt BBioo ed Pl!&{ioocod.. !d ay licaa i b tuI foGod.fbct.,B /a:o O17- C)1 /o/ / /'?
<br />coN[al]crq!.Jartlc.AcE&I
<br />I tahy .lEm ud.r Fidry oaFru, rh.r llE. i . drnru.rbi loii.e .sfty lor th. pcfo,l@cc otuh. vort tur fikn lnL Frl i
<br />is{.d (s6 3097. civ c I
<br />A!!UCAXI.DIGI'8AIIq!
<br />I Ht dEE @& F.i, of Firy on ofrt fDUri.S 4iLri6:
<br />D.@lhh! Panhl^.h.ro. Noifi.ibD Fcdall R.auLrioB (Tirl. {. P.n6)
<br />---t.+riEd LaEof diE rn
<br />-l
<br />cqiiry $r rh! ftd.rl 'lrubid tirtllils -td turd & Dr .ppltruc io $n Foi.d.
<br />&, -r" * , *,oa r" sltabr.d rnc rtr $. &E irtuin i.q!d- I rar!. ro.di?ly sin dl cat ad co6,
<br />ndiurFo !d St& l,E rtlt to bildiia c.dnurb!. -d h.*y &rtdi. iF.drrn6 oftti. Ci, ad Cordy b da lpo! lh
<br />il^.\. nE ra'cJ tr,rrn\ i{ n
<br />,",,.,,; ,^::,.,;."; _!- ?a\r-_
<br />Pd kr1 L.,,!tri, *-frrj{vt f/ot'o:
<br />,tZloll 14
<br />Appliances
<br />Melal Fire Place
<br />Eva porative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Delectors lnstalled
<br />Rough Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<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 />Rough Mech.
<br />Final Test
<br />Meter Release
<br />FINAL 6za Z,(6n trtas( Zrz )
<br />^-t
<br />MECHANICAL-INSPECTOR RECORD
<br />APPROVALS
<br />Notes, Remarks, Etc.
<br />4
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