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MECHANICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />Appliances
<br />Evaporative Cooler
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer '7 -1-/0 ..t/.1 ele,4/)
<br />Besidential Ranqe
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />enrngs
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rou gh Mech.7 -7.-//J/at*e .t?
<br />Final Test A
<br />Meter Release .nt
<br />FINAL Y'7 -tr y{+w
<br />Notes, Remarks, Etc
<br />OIINTRBT]II-DI]R DI]I,CARATIoN .
<br />Bt\i'rr\\ rnJ !totc\\n{ Ctxlu) Ant Cir, or Cootr! shirh rcqrnr\ r If nr nr .ornnrcr, al(.r. iht)r)vc. dcnm|$ or rqxt rtt
<br />t'rhclnrnionroarfu(i,nrrrrtr'sLi.rn*dl-a*lchrnrcrLC.nnncci'i8*irhS..li, run ol Diviii,r I ol rh. ll'isi,,.\\ ni
<br />rt'tliu rnl' i|tirnir\uhj.rr\rhr rlplicrnrt,rcililnrnJlrrolnornmihr filc hu drc dollnrslSS00)
<br />-!.asowerofrhclhpcny,oro,cmnlottcswnh*ascs!srtcnsob@nn.sarion.pilldortEwolla.ddEsnBrmisnor.inlcn H or offcEd aor slc (Se ?044, Burirc$ dd PmLs.ions Cod.: Ttc Conlrlclols LiccnE Liw dca ml lnrly lo 6 ovtur oa
<br />rh. Fst.dy wls buillr M inlm6 rhc6n. old wlb dds sh s* himslt 6r hcr$lf or rh^rgh his or her oen cmployccs.
<br />rrovidcd rhol su.l' ihnmrcmils m not inErnd or ofrcEi ior eL. lt how.w, ltr buildiry m ilnpmwmnl is sld wit,in orc )ru
<br />of.on{,htion. llf, Owmr Builhr will h!rc llE bur&n of lmvin8 $ar rE or srE dn d hild or impow lnc p|otEry for l,E rrrF$ of
<br />l. d*owtur{frhc nn'Fry. iorcxclu\ivclyconr.a.rins sirt licc.ed confacro^ roonlmc' !h.Imrcr {scc.7ol4. Busnc$
<br />ond PttriLrsion Codc: Thc Conlriclols Licc"s.I-.w dms no' ipplylo tr.owtrd ofprorcny wno huilds or improrcs rhcmn.
<br />dnd who onrdrs lor \!ch pF,cclr *irh a Co racr on n , iccnserl pucronr ro rhc Cont&ttr ! Li.c,{ ll*).
<br />-l
<br />adcxcrrfl lndcr Ssth
<br />DECI.ARATI(}N
<br />I hcrcby,tlitmxndcr |)c.,hyoll.rjurtomorlhc loll.snrs dccl&rrn,n\:
<br />lrLhtr (i c.lnrrlrc |xrfonnrnrc ofnr Bork 1,r whi.h11[ |[anir ir i\susl
<br />-l
<br />hovc lnd wilr mlintlin workN corp.nsalhn iD ramr, as Eqrncd by Scction l?00oflhc tit'or Codc.lor rhc Dcfomrrc. of
<br />lhc qork lor *nich lhis pcmrir is i*ocd. My por*cs o'qcns{ion inslErc dric! dd policy rumbo @:
<br />ll,li.y Nrtr '.r: I;it'irc1
<br />-l
<br />ccdilrlhl inrhc |rrturmrccof lhc qork tor qhich'hislxnnlr is is$cd. r shrll nor cmploy.nypcMn in rnyhann.r
<br />s, ar ro hcom \!bj.d ro 't. uorlc*' conpcn\lrion lass of Cqliforni!. nnd asrc rhar ir I sh,uld h.oft suhj(t lo lhc
<br />sorkcr( compcnerio. prorisi',nr or s6ri.n 17fi) ot rhe Uh.r Codc. I rhall- f(nhsirh cof,tly pirh lfu)s pmvlsions..
<br />WARNIN(; Frilur ro {cur. sorkcB' ..rqrns,{ t,r .ovceg. i\ unlastul. atrd shall subjcct m crploycr lo sinrinal rEro lics Md
<br />civil fincs u,l b om hnndicd rhousa.d doll&s (31(X),(XD), in rddnion ro rh..os of.ohpcnsario.. domScs as fovidcd lor rfic
<br />LIrIjNSrDrONrX llA.B
<br />DETI,I1.B]|IIoN
<br />ol rfu tltr\trsxnd ln)li\\io',\ Codr. rnd ,y lkctr\c ir iD lnll,nr.. n cfii:cr
<br />I,lte: ConlEctor
<br />qANiIB]JCIII}NJ.INDINC.dIiE (I
<br />I hcrcbr.lfirnu cr Nntlryollujuryrl thcrki(on{ocllotLndir!r8.tcytrthcnIln'nbic.orrh.workrorEhi(hrhis|trn i\
<br />i({,cd (Sc...1097. Civ C )
<br />A.TTUCAII.DE1;LA8A:TION
<br />I rrrcl,y.mnn tr Mcr lcnrlry or fcrjury onc ofrM rolk,wnr! dLrl.r.tionsl
<br />Dcrelirion P.rn k ArbcdosNorificliio! r€dcral Rcsohr iuF lTnt 40. Pnn6)
<br />-Rcquncd
<br />lll'cr of NolifEoli'n
<br />abovc mnliotrcd pmpcdy lor
<br />Appli.d or Agcnr Signarurc:
<br />Pmi'eciam(rnio:tr UU4
<br />)or(
<br />IAPPROVALS
<br />Metal Fire Place
<br />Furnace
<br />,"," nq l0 ?al!
<br />;:::dj:tJiJil:ffi;t
<br />-lrcn
<br />It rhrr rhc 1. cn'lr.!,,hri(n,\ rclrdi'rg x\tr$o\ r.nn,vx rrr mr rfd.rnlc ni rhis n(+d
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