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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Itrlisc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents j\ <br />Toilet Room / Clothes D ryer 1-254y 9-v{tu <br />Residential Ranqe <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 />Meter Release <br />FINAL l0-il-ly KWJO <br />Notes, Remarks, Etc.IJ <br />OWNER BUILDER DELCARATION <br />I h.,eby afrrn urd.r Fnahy of Frjury rhll I M d.nfl lion rh. Co r&16 l-Lt.e tjw lor $< tollosiig rceo (&c.loll.5 <br />Busi..si o.d Pror.sion C.dc): Ary Ciry or Counly whbh rcquics r Fmir lo coos'ruct, 1116, irwovc. &mlish or EFn my <br />suuclurc. I,ior ro irs issuaftc, ols rcquirrs lhc applku' f6r su.h Fmh ro nh a sigmd sl.rcrc.' rh.l tr or shc is licmsd Furslnl <br />lo lhc pmvhioni of rtE Coo!.,croas l.iccns.d Lrs (Chdnrer 9, Comtrrcing wilh Sccrion 7(xD of Diriiion 3 ol lhc Busincs a.d <br />Pmfcsions Codc) or lhll hc or rhc i3 cxcqrl lhcrcfrom md lhc btrsh for lh. allc8cd cxcq,lion. Any violalion olS..tion mll.5 by any <br />npplicad fo. a p€mn subirrs rhc lptlaca ro a ciril t'.Mlryofnor mcrhan lirc hundrcddollds (5500). <br />-1. <br />0r owrcr of lhr pmpcnr. or my .q,lotBs snh w!8.s s rhrn $h mmp.nsdion. vil rlo tlE qot 3rd llE n.Ele is mt <br />inrcnd.n or olTcrcd for sle (Se.?044. Blsincs end Profcssions Codq TL Conrn roas Liccn* Liw d@r nor rt'Ily ro an owrr ol <br />lhc lmFny wh. boiLls or inomws llEMn, .id who dB Mh w* hims.lr or hcMlf or limu8t ih or hs o*n .iq,loyes. <br />l)roridd rhar ruch inDrovcmok @ mr inr.nded or 6rcrn fo, eb, lf. hde6. rhe huilding or iqmEmnl is $h *ilhin orc )re <br />ofotrphthn. llE ol,nor Buildcr will haw lhc budcn oaproving lhat h. or shc dil ml blild or iq,ow ths pmFly for iE pwf.c of <br />-1. <br />s 6wnc. ot rh. roFn, m .x.lusi!.ly contBcring warh li.cn*d .oorlcro* to snnBt tE proFl (S.c. ?044. Burims <br />ond Eotsioo Codc: Tnc Conlroctor's Lic€nsc L.w des mr !ppl, lo an owncr of,rorcny sho blilds or imfiov8 rh.Mn. <br />and who $nrr{ck ror such psisk wnh r Conhcro(9 licn*d puuusr io (h. Co md.ls Lic.ns L.w). <br />-l <br />!h cxcmpl undcr Sclion- B. & P.C. for rhn rcason. <br />Drte O*ner <br />woR(nfs. c(|nf Fr\isAatoN <br />D}:CI.AXAIION <br />I hcmby alnrnund.r p.nrllyolt6juryoft ofthe follo*ing d..ld iotrs: <br />l-ih,tr(i{lc.lirlrltrl!tr rtr.(olrh.tr!r(nr sh].Irhrtu trr nr\uc <br />I hav. rnrl will minrrin workcrs .o'nlcndion nrsldtuc. ar rcquir.d hy Scdi.n ilTm of rhc hb.r cl)dc, for rhc ,'cr,ornEncc o, <br />c work for whi.h rhk l).mh ir is{.d. M, work.^ .omp.n\dion in\urdcc .nicr rnd loli.y numbcr m: <br />-lccnifyrhu! <br />irrhc pcrfooElcc o[hc*o r nr wnich rhis pcnnir is t{ucd.I \hill nor employ ony pchon i,ronym0nncr <br />$ as lo bcem subjNr to lhc vorkcrJ.onD.nsrl ion laws orc0liromin.,nd +N lhal ifl sl$uld bccom subjcd td rhc <br />*0lt6.onpcn$lionpmvhionsotSdion]T(]OoflhcLaborCodc.lshall,fonhwilhcoq)ly <br />IIARNIN(;: Fdilrr k, r.ud tro'kc^ .o rtr .ovcBlc is unlawtul. and shdll <br />irion ro rh..o ofcon{Enerion. dlmgs rs <br />DEClitXAllllN <br />t hcEhy !r'!n m und.r lcn.llyoipcrjury rhd I !m li.cnst undd ,m!i\nr of Chrpts 9 (ommEin8 *irh S(rbn Tuxlr of Oi{{i{,n .l <br />of lhu Burnr\srftl PmLlsn,nsCdc, xlnr]lf,cns.it i,rfullf{tr. d cfLrrL/ <br />I hcrcby antn undcr Fnllly of pedory <br />isscd (Se. 3017. Civ. C.). <br />snsrdctiofl lcndifls rscic, for rhc Frfortunc. of rhc work t shth rhh Ffir is <br />A.TEIIIAIfDI:CLA.BAI]ON <br />Ilrtr{rrrllnnu .rlr.orlr,olp.!ur}.rcof lh.rbllo\insn..lir r6nr <br />Drfrrl1i,r Plnnlh A\tldo! Noriri. ri'r I:. orJl Rrguhrnnn l'l irl.10. Prn6) <br />Rcqrncd hrrcrol Norill(nrid <br />not aprlicat k to lhis pn*rl. <br />ll8re lo onqJly *nh oI Cnylnd Counly <br />Other <br />Hood <br />Final Test Ladr's Ad&Bi <br />- <br />_t <br />{^nu,'thi p,,lharion rnd sr,tc rhar $c atbvc <br />I <br />=