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APPROVALS DATE tD/stG.COMMENTS owNEx autLDEn DEl.rAaaTto
<br />I ha6,.mto @dd p@r, of Firy tt I D6.q to6 ll! Cdtr.d..t li!4lt* fo.rt bllost tei (s.c.7011.5
<br />E6i!B md Prcbion Cod.) Ary Ci, o, Cordy *.li.h rcqoia ! ,r6i to @l'r*t .lrE idp.orq daftliih d tr?.i my
<br />nndE!, Fi* ro ir! isls!. .lo EqoiE E @ltd &( ldr Fbn to fl. . rin d fidi. llrn h. d thc i lioatal Fa$d
<br />ro r Foviis of rh. cdn -rdi Lia!..| t:* (ct$6 9. c@i!s *i[ Scrior 1@ of Diviti,! ! of lt. B!i6 nd
<br />PDfrsi.E Co&) or rh.l h. d rlE ir sqnF IE6DE ,n th. bcir tu dE rlLs.d dotErior A!, vbhb! ofsctb. ?01 L, by Dy
<br />.cPli.rll tu . pc6n surao tb qpli.ll ro . cilil p@h, otbl @a $- liE t!i(H &lLt (1500).
<br />-1.
<br />d owrq oflh FDtqry. or Dy orplorE with w.8. E r,I.t .L @nFlrioi. wi[ & dE qut Dd lh. ltndE i Er
<br />ind or o&.d tu nL (s6.70,&r. BsiB 6d Prcb.bB codc IE codr..rd t Lic6E t * do€ Dr ryly ro o olG of
<br />rlEFEFI, wlE toilt d iFlE drrEn. -d *lo dd *l qit nnndl d hddf or lLolai tir d E .m aEr,y.r..
<br />FoviLd dld Bt iq.DrEr & d n.!.Ld d oit!.! 6r rt l( how. 6. hfint 6 itFoiqtd b sU wrln G )t
<br />olcoelib.! 0E o.G Brildd wiu hE rh. hldar ofFovi.e d! lE 6 dE .ld @l htrld o ilFolt rhc FoFry 6r tlr Frp6. of
<br />-1.
<br />a oM€ oarh. Flporr. e dcluivcly @nt etiry with licq!6d co,r!-ba lo .ollltud 0E FdBi {Sc. 7044. t}M6
<br />.!.1 A!b6 Co&: Tlc Co'nn ic r Li.@ !.w &€ d +pl, b o ow of FDFIy sho toil& or iiF!6 tdqE
<br />.d wto <orrrr1t 6r ut FDJdr. wt! . Corffia(, li6.d Fliud ro rh. c6rr.rdd r L.@ L$).
<br />I
<br />DECTJAAIIAB
<br />I h.t$y r,fh uda Frny of Fi6, G olrlE follopiq ddt itb6:
<br />-l
<br />I.E !d eill mi'fin r C.ttu. olcoEn lo s.ll-lEE d atd con".i..rir\ . Fovilc.l lor by setib !?00 of lt
<br />L.6or Cod.. 6r O. Fhrttrc of iE Frt fq cittt tlE FEi i i4.d.
<br />-l h.r dd *ill in.i! ertd oq6d@ icJ,u.. a ,lqsid by SeliD l7m of llE l,tor Co<L. fti lh Ffo.Gc of
<br />tt 6l frir *tih 0i. Fbi b ind. Mywto @rpdrbo iErc.rri, tn,ofi.y @ba ft
<br />Polic, N6t6: ElpiB
<br />-l
<br />crit, $a i! rt Ft)rffir of tlE *dL f!. f,nth ftb Fnil ir isrc{ I.t llml cqb, oy Fs. itr a, I!,E
<br />- .lo b@estid rodEwt6'oor@rb! L*.otc.lifomi. Dd rc$r if I dbrt, h.odEtitl ro$.
<br />e*d' 6o!@{tb! provitioB ofs.dioa 3700 ofrh. L.bor C.d.. , tt lt. 6dlpith mf,dy *nh lh. FovirioE..
<br />civil frnB up lo om hurdrcd thousd &lld (ll lddnion lo U. co! ofcooF slioE dM.e6 n Fovilod 6t {E
<br />Code i qd !d.trdr.r'
<br />/a
<br />USEME.CAIIIA'CIA8
<br />D!CI'8AIIA!
<br />I Hy dftD o&,@t, of Fj6y tt t & li..du.t Fovbkr of cl!+16 9 (@E,Ei{ sirt s..ri,7000) of Divibo l
<br />or rt. &!i6 d AoturbB Cod!. nd d, lt.E i ii ftI 6rc nd cfE<r
<br />cIlSErBXCllt}Iti rlqlc !
<br />I lEltry .ff6 u& F.ly of Firy lli tts! i. od,Erbr brdi.g.a@.y tu lt FfoGi.t ofu. rqt &r wtthrli Fri i
<br />is&d (s- !o97. c'v. c.).
<br />I (o1ily rhar rhc f.loalrtluhrn)N r.trd'nt $b{*()r 'flx\al c n.r nfl'l'(at,l. () rh6 Oord
<br />-l
<br />..rit rLr I lht rid tlir .rdirbo d rr. lhr dE .boE i.aoilibo h .rqr. I {rc ro @plt wah dl Cly.ld Codr,
<br />od:!:.jE md Std. L.w Ehit h buildt g on*ucru! .d ha.t,.dnrn ,rp6alni6 ofttir Cny e<! Cot ly lo arc '{on tb
<br />.!o( E{io!.d FDdry 6( imdb. Dl,D6Z,I"T'W*--Arrt
<br />Pdicn.r(Fid):
<br />Appliances
<br />Metal Fire Place
<br />E vaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnslalled
<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 /---T.\
<br />FINAL l4-/8 t '4//Z'7
<br />Notes, Remarks, Etc.\_-i
<br />MECHANICAL.INSPECTOR RECORD
<br />I ,ra-z
<br />ki6 t AtltB:
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<br />rrrr rcrnr nrr"i: ciiiirr
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<br />I Hy.&E ur& F.ry of FiE, oa 0116. f.b,i.a (hhri,6:
<br />Ir@lirb! Pa6ir.A.b6 r,loriicrbo fc(b.| Lednbo Gib rO. Prta)
<br />-Lqqild
<br />tat6of N.r{taiD
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