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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />Appliances
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment .:\
<br />?f ? 1,., (, *lrJ,Cr_r, PJC.1
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled z1
<br />Rough Ductwork u \*./
<br />Toilet Room / Clothes Dryer 1-?r-lv gUbJeql>
<br />Residential Ranoe
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />Openinqs
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />,,A
<br />Rough Mech.t5-
<br />Final Test
<br />Meter Release
<br />FINAL ?-lu.t Y,
<br />Notes, Remarks, Etc.
<br />OWNER BUN,DER DEI,CARATIoN
<br />I hcEhy rfrrm undn petulry of pqiury $a, I m qen{)l non fic Coillreror' Lietre Lrw for dE louowing F&sn (Se.7031.5
<br />Bositus3 .id Pmf.sion Cod.): Any Cny or Cd.ly wttn EquiEs . Imi lo omrMl, .lld, inprclc &tulhh .r E?.it ey
<br />sEEt@, pri6. ro irs h rN, !b. Equies rhc applicer tor ilch Fnd lo 6b a sigo.d lratcmr rh.r lr o. rlE i! liftN.d IrUNrr
<br />lo rhc rmlisiod of rlE Coix4rols LienFd Lle (Ch!/cr 9. Conwring rnh Sedion 7000 ot Division I of rlE Busim$ .nd
<br />Prfcrsiors Codc) or lhar lE or shc ii cxenpl fiecfron rnd rhc b8i\ fo, rhc ollcgcd crcmriioo. Ary violaio. ol Selion 7O.l1.5 by lni
<br />applicail for r n @il subi4ls ll'rc appli$nl ro . .ivil pcmly of nol noe d& five hlndrcd dolles ($r00).
<br />_L &s owncr of lhc !m!crry. or my cmployes wirt wnScs 0, rhcn sb conrFnsd ion. will do tlr {dk dd rh€ sn&r@ h mr
<br />inrcndcd or o{ter.d ir qlc (Se.7ol4. Businc$ and Professions Codc Thc ColllBroas l-i*n* Llw docs nor apply b an owmr of
<br />rh(,mpcny $ho hoilds.. ir{'ms rlayoo. un wno da sKh w* hiosclf o. hcrclf or llmugh hh or hcr o*n cnpluttcs.
<br />Jt.ovilcd rh.r such inqmrcmnts m ml inl.nd.d o. oIftEn for sb. If. howi rh. h{ildin8 or tr{,owr h$ldpilhinoft}ce
<br />of@npbi6n. llt O*er Blildfi will hlr r,E hden .f lrotn8 rlEr ,r o, sh. dii mr tuild or in!@e the poFny fo. tlE pUIDF of
<br />-1,
<br />as o$ncr of rhc ,,!rcny, im cicloiirl, .ont8riis qith licensd contftcloB ro @Nrud rh. tftid (Sec, 7044. BNim$
<br />snd hDfssiofl Codc: Thc Conkacrol s Licn* L,e des rcr .pply ro d owncr of,rnp.ny vho builds or inpovcs lhcmn.
<br />and wlD enrracrs for such loich wt! u Contmcrorl$) ltcnrcd p!6uor ro rhc C.nracroas l,i.cnc tlw),
<br />_l dmcxcnrrr uftl.r S.crnln .B &PC lorrhhron$n
<br />SO8trE8S:I:OMEEII,:AIIAN
<br />D'CI AIIATION
<br />I hcrcby nfllrn undc. !.ndry of Fiury oft of lh. folkrwing d&l.r.rir1
<br />IhNcd \illnair[drrCc ili. cofQ r*nr t) Srlr-lNurc lin workcri .onllcrrrri( ,rs pn)lidcd id bySc.rie]7(x).lrh.
<br />t-rtrtr Gxl., fd ih. t rln'nxtncc orrhc *ork fttr \rhih rhr lrnlir is i\\ucd
<br />zflilc rnJ { ill nri rin wo*ch c.nD.r\rri(in i'surrncc. r\ r.quir.d hy S&rnr .l7U) ot rhc ttrhor Codc. ii,r r lt Nlid nhn.c ol
<br />co,nFisarn,n nBurocc cudid rkl pli.y nu'nb.r dc:
<br />/
<br />a 1^t-/ I
<br />-l.cftirylnol
<br />in thc pcrfoflMn.collhc work for which lhk pcrmil is hsucd. , shall nor cmploy ony F6on in any tu.m,
<br />$ a to bcam subjcc o rlr wod.c6 odpcnrlrion la$s olcslilomi!. and lsrcc thlr ill should trrom suhirr io rh.
<br />wodcm comrEnslionB)visions olSccrior l?m oflh€ Lnhn (-odc.I sh!U. lonhwiih.$drly wnh th,e povhiong..
<br />WARNINC: Frilurc lo scurc workcs' o'npcn$tion $v.aqc is utrhwtuL md sholl subF-l an cmpk,rrr lo oimiloj pctulrics rd
<br />civil lincs up k, o.c hundrcd thousand dollrs ($100,(ion ro th. .orr of compcn\orion, domEcs ar pturidcd f{r rh.
<br />Selion 1076 ofrhc L2trtr Codc. irrcrcsr
<br />D,<-&2t:1-L-
<br />LII;IISEITJONIIACIUB
<br />DESJBA.IION
<br />I h.sby aflinrundcr l]cnlltyofpcrjury thit I li.cna{ lndcr pmviio. olch{plcr 9(commmins eiiir Sdi,n ?fin) ofDivision l
<br />ol rh. Businossond Pmfcsrl{nx L:odc. and mylicctrs ir ir tullloNmCcflicr
<br />o*,, 8^n /- / E
<br />CAX$XUCIII) IEIDING.AGENCI
<br />I hcrcb, affim undcr pcnulty of Frjury rh, thdc ir r co.ntudion knding as.tr, ror rh. Frro@ncc ollnc work for whkh Ihis lrmn is
<br />nsucd (Scc.309r. Civ C.r
<br />APILICAII,DEC!8AIIII!
<br />I hcrchy,rmr u.d.r pcn,lry or p.rrury o.c ofth.lollownrg dc.lr.rions:
<br />D.mlirion Pcrn h'Asbc(os Norincarhn Fcdcrll Rceul0riotrs (lirlc40. Pan6)
<br />_R.qun d kncr o, Nori,Lari,n
<br />I c.dify lh rhc fcd.rdl rctlla'n,r Eg,rdih8 rsh.{os Em)hl nft n.r amli.6lc k, lhn ,fl,irt.
<br />-l
<br />ceaityrhar I hlvc rcad rhir upllicaraon lnd nllcrhor lhc !bo!c irlorrorion n cotucr I aBre !o.onnly *nh 0I cirytrndC'.unty
<br />ordinln.cs lnd Sr,r. Lrws nldin! to consrucrn'n. ui h.r.b$ulhorizc rcprcscnrstiv.s otlhi! City tr.d Colnlylo cnr$ q!.n rhc
<br />.hovc m.liomd ,mp.ny lor
<br /> trh.xnr .r Ag.nr Sig rr0
<br />:<a a/^.1
<br />I
<br />lltll,l
<br />,dW
<br />Metal Fire Place
<br />*a ,r440)
<br />K
<br />Vents Avwu
<br />kJ4tlA,l
<br />- \ \/
<br />knd.is Add(.s
<br />-
<br />*,", E' t /E
<br />II
<br />tl
<br />F
<br />tt
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