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MECHANICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OWNEI AUILI'SR DELCARAIION
<br />lh.rcby.,lrmunncrpcmnyolFiurylhdlmcr.mptr6nltECo6croBLietrEtwforlh.followingmsr{Sc.?Oll.s'
<br />Blsin ss snd Pmfcsion Cod.): An, Cily or CouiIy which Equncs tr lEmir ro onsrtucr. dr6, impor, d.mlhh or Elion d, ,.
<br />sm.furc. pri)l h irs h.uMe, {le Equn s thc q,tliq for slch IEmi lo fih d si!ftn sl'l.ftfl rhor lr or 3hc i! lieG.d Duaulnr .
<br />b lhc prcvisio.s oa rlE Conlr.cltr\ Lkc.sd t w (Ch4tc, 9. ConwEing wilh Secti.n ?0m ol Divisior -l of llt Blsincrs !tu|
<br />PtofcssionsCodc)orlharheorshciscicmprtncrcfromandrhcbashforrherllcgcd€icq,rion,AnylhlrtionofserboT0:ll5bydny'
<br />dppliconi tor o ncron subixrs the .ptli.a
<br />'o
<br />a civil F.alry of mt mr the nvc hundrd dollrs ($5OO).
<br />-1,
<br />as owffi of rhc pmFny. or my cmllorr.s wirh *ag.s {s lncn $lc comlEnsarion, *ill do rlE hlt lrd rlE sErr@ ir mt
<br />inrddct o, ontrcd tor elc (Sr.7044. Businc.s and ftoltssions Codc: Thc Conre|ofs Ltcn€ Lls do.s nor apply ro M ovns of
<br />lh. m'Imy who hild! or in{rcB rlEmn. a,t *lb dn s.kh s* him€laor lErslf or lhrcufi his or lEr own c,,rloyccs.
<br />plovid.d rh{ skh iilm1mm. m mr i rid.d or ofiqtd aor $le. l(,*,wcEi rlx t ilitin8 or i.pmwm k $ld wirhin om )ur
<br />ol conplction, $c Oercr BuikLr will haE lh. l,urd.n of lovitrB rhd h. or shc dil m boild 6r irpmw rhc lFpcn, lor tr pu.tbE or
<br />-l..sowncr
<br />ofrhc pml'.ny, amcxclusirlyconloditrB wirh liccnscd contacton ro.onsrtucr rhc pmj.cr (S(. 7044. Bu\inc$
<br />and htrferi,n Codc: Thc Co.r6.roar Li.cnse Llw des not aprly ro a ownc, 6a pr6Fn, who builds or improvcr lhcrcon.
<br />and who onhcts aor such pmids wirh a Conhcro(s) lhc.scd puBumr
<br />'. rl.. Conlra.toas Licctrk Law).
<br />-l
<br />ancxemrl undcr S(l
<br />Drle Oane
<br />TA.8f,Ef,lLljAMtlNSAIITN
<br />DEC!,II!A.IM!
<br />I hcrcl,y ofllrm!.dc. lcnahy of Frrur, nnc ollhc tollo*in8 delorclio.s:
<br />-l
<br />h!rc Md will minllin . C.nifrd. of Consnr to S.ll-l.suE ltr vmksC ompcnstion. s pmvid.d for by Setion :i700 of rhc
<br />t2btr Codq fm lhc F lollrm of lhc mrt lG *hih Ihc Fnir is issu.n.
<br />l hJ\r r *ill
<br />'nrnnni',
<br />+uk.rr.o rFn\nii{tri rcquircd by SN! io. l7O0 ol lhc tjho. C.d.. for lhc l)crfommc of
<br />hn irflBrce .rm.r &d Flicy nunh.r m:rhc tror\ fq whtirlislcrfri! i\ isxcd My sbrkctr
<br />l.cn,fyrhrr i'r rh. l.'tonMm. of rhc ror *hhh rhk Nrdn h isrucd, I sn,llnol cnq,loy !.y pcrson in ony ronN
<br />$ {s!o tEm'E subjccl ro th. ro*m ompctrs.tion hws ofC.lili'mio. and agrcc thlt ifI stould trrom sll,jcl lo llr
<br />wo ctr'conllcnsotion!rcvhiotrsoiScc]ionSrOOoflhcL,tsrCodc,lsholl.fonhwithcomplyeilhlho$PDlisions,
<br />WARNING: Fliiu. ro sm *ork tr $npcNln,n $w69. as unl.*ful. ad shaU subjcl e cnptoler ro sjmi..l rEenas mi
<br />.ivil nr.s up ro o.c hunJrcd rhous0nd dollln ($l0o.m0 ddditio. ro thc co( of onlrtnsrrion. d!roscs !s prolidcd t rhc
<br />SNltu 3076 of rhc tibor tuc. n crcsland
<br />,,,", .4/y'le
<br />DECI,A&IlrlN
<br />I hcrcby rinm undcr p.nrlly of pcrjury lnd I ur li.!n$d unds r&vnn[ of Chrprcr I (Lr,n dcnrs wirh Secl ior 7uD) ol Divhiotr 3
<br />oI rhc ausi,,css .M Proressions codc- lnd my li.cnse h in tull ntre orn crdi
<br />SOISII.UIIII0NIIM)IICrjIiDX!!
<br />is{rcd rSLr .1097. Clv C )
<br />dU:!J(::lNr2!ct lBArI0l
<br />I h!'.l,yrllnmtrndcrJ{frr}ol I)rrlryoNol rhck)ll,,q,g,l..irrIi,n,\
<br />Drnn)liri,I Prnni\ A\hr{o\ Nor,tuxri(m Ii(do.Jl Rrgrl]riinN Il [1r.10. l,r 6)
<br />R.!u r.d Ixncr ol Norili. i,
<br />-l
<br />cenify lhd lhc lcdcol rcsuhlions Esunine .stcnos rcmvul lrc nor apnlicabh ro lhis pmrar
<br />-l
<br />..nily rhut I havc,cod rhis ap!l.rritrMd {r1. rIr rh.rh]vc iDTitrtr,rri,!r n.fNcr I esE r. ro.rdy wnh,U cityand Counrt
<br />ordi mcs !trd Srar. ljws rch'inE lo
<br />rhovc oEnrioncd popcny for inspcr
<br />in8 consrrucrirn. ord h.Ehy lurlrri,I r.pEsnrarivcs of rhis Cny ad Counly ro 610 !p6n dE
<br />Amliconl o. Ascnl Si8nlr!,.,", e/,Yla
<br />Appliances
<br />Metal Fire Place
<br />Eva porative Cooler
<br />Furnace
<br />Compressor
<br />[/isc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />Insulation
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer K-zrvk x.wJi)
<br />Residential Ranqe
<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 />Rough Mech.
<br />Final Test
<br />FINAL 1-zq'Ig \ jvrid
<br />Notes, Remarks, Etc
<br />DATE
<br />Meter Release
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