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MECHANICAL-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNER BUILDER DELCAIAAION
<br />I hcrcb, lmrn undcr petulry or Friury lh.l I u .x.q)l iiom th. Conrc.to^ Laue L!* for thc following msn (sc..7031r5
<br />Bu.incs rn Prcfcsion C.dc): Any Cilt or Counly slich rcion i a pcmir lo mnnrud. ah6. inpovc dcmlnh or lt?an my
<br />slo.rm, Fior ro ils irs!r@, ds Eq rcs lh. opplhdl tor such Fmil h fih a 3i8r.n naicmnl lftar llc or ih. ii lie.cd plN t
<br />ro rhc pmlnions of rhc Conrrrctd'3 Li...*d L,s (Chafle, 9. Conmmi.S wilh Secrion 70oo of Division 3 of rhc Buiituss sn6
<br />Pt fc$ion. C6dc) or fill tE q shc b cxcmp( rlEEltom !d rhc b6.ir for rhc dhecd crcmplior. Any violalior of S(lisn 7011 5 hy my
<br />.rplhait fo. . ncmi subielr t* lpplic l lo a civil pc.ally of ml mrc lhm fiv€ nlndtd dollus {$500).
<br />-1.
<br />c\ oskr ol rnc loFny, 6r oy corloFn eith wag.s 8 rhcir $h omFn$lio.. will .lo l}l vori !d llr SEltrW L ml
<br />i.rcnicd or o,Led tor qk (SG.7044, ausircss rd Pr!6.rhns Cd.: Th. C4.lrdolr LtcnE Lrw docs ml qDly ro m o{F of
<br />thc p,lFny wls hrilds or iqmB lh6r ard eto dar *h e* hi@llo.lEMllor thbuSh ti or n r own cnpbyEi
<br />pmvid.d rh.r ru.h inpmmrs e ml inrcndcd o olftrcd aor slc. la, lE*tE. rh. hildirg ( iqrorcm ir $n wnnin om ,st
<br />ot.on!,Lrion. iE Oercr Buildc. wil h,w ttr bu,ncn olpmvhS fid rr or sn. dn ml hild or rprcw dE llolEly fo. 0x Prpo- of
<br />_I.,sowmr orrhc FmFny. r,ncrclusivclyconradinB *nh licns.d conlru.roE ro con(tucr rhc
<br />and Ptnfssion Codc: 'rhe Conrhcroar Li.cns. trw do.r nor aptly ro 0n.umr.fpropcay
<br />and who .onhck ror .u.n prcjcds virh ! contE io(,liccnscd
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<br />I hcrcby nilnm undcr ncn{llyofFjuryone ofrhc
<br />I.cniryrh,r inrh. If rionuncc oi rhc sork for *hich thn llcnnir is n\!dl.l \h,ll mr cn'ploy rny
<br />s !s ro bcom slbj.rr ro Ihc aorldc @rp..srioo hes .f Cllifomi& and a8ft ihll if I slnlld
<br />wo*c6'$dl'cnsrionprclnk,NofSerionlT00orrhcLlborCode.lrh,ll.fonhwirhsmplysith
<br />W Ri\iI:l(;: I:rilurc b {cur. surkcrJ conDci\rri(in co\cnlr '\ utr lorcr !o aiminrl IEMhic{ .nd
<br />I ncrcbyrlftnrundcr pcnnlryofr.rjulr rhlr I !m lice proeistr.fChnlrcr 9{..nxrf,n.nrB with Sdi,n 7000) orDilhn,n l
<br />.l ftc Blsinc$ 3nd Porcsbns Codc. ,nd my liccns is h lull forc Md cfii{r
<br />Corlr*l@-
<br />l.cniry rh0r rhc rcdcra,rcBUldions rcErdinB
<br />A*,n",n,,***,,riii","-.'""a s,r. r"*. -I u,e ro conuly wnh lll Cily lnd counry
<br />his Cilyand Co!trtr ro cor4 uB,n lh.
<br />ahovc nEnlioEd I,nIEny lir jnsFcri.n
<br />Amlicatrr or A8cnl Si8trllurc:
<br />U
<br />Appliances
<br />Ir/etal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />lvlisc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<br />Venls
<br />Toilet Room / Clothes Dryer
<br />Residential Ranqe
<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 dz.tfio,>u/o,
<br />Notes, Remarks, Etc.
<br />APPROVALS
<br />-l
<br />halc and sill mintain a Ccnifkarc dl Con*nr t, s.lr ln{E td sor*.rs .onlEns ion, $ polidcd fn by Serio. 1700 or rhc
<br />tihor Codc, for rh. tslomErce ofrhe {ork ror which lhc li{rm is istucd
<br />-l
<br />havc rtrd willnuintrin *orkcrs .onFnsalt n in\uruncc. as rcqun d by sNrion l7m oflht tibor Codc. for llE Isfo,fu...f
<br />r hc work lhr ehich rhis ,cmir ir irsn d. My wor*6 .6np.ou ion insufunc. cffii$ md Flicy nunbcr ecl
<br />SONSIBUCIANIENDNCI(;INIX
<br />I tcrchy aLrm hdcr penalry of Frrury ihd rh.r. n , $niddbn lcndi.S aSdEy for rnc pcrf.nume of ltu *oa ror whkh rhis Fnril h
<br />hslcd (S.u.3091. Civ C.).
<br />tind.r'\ Nrnr
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<br />l.id.r'\ ddt*rppt-rc,tliireiiiiiTiiF
<br />I h.r.ny rnirn uMc. trnrlry ol,'crju.y om olrhe rollo*trE dslftri{,n\
<br />t)rfln,liri{in ,cnnii\ Asb.dos Norili.rrion Fcdcirl RcBulrriotr( (l irlc,lr. P.n6)
<br />Rcquncd t ricrof Norilicarhn
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