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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Compressor
<br />Misc. Equipment
<br />Ducl Work
<br />Pre-lnsulation
<br />Smoke Detectors lnstalled
<br />Rouqh Ductwork
<br />Vents
<br />Toilet Boom / Clothes Dryer
<br />Residential Ranqe
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Fire Damper
<br />Openinos
<br />lnstallation
<br />F.D. Drop Test
<br />Above T-Bar
<br />Rough Mech.
<br />Final Test
<br />FINAL 1l>u lv |-rt 01
<br />Notes, Remarks, Etc I
<br />4M d,*,r- k ;F 0v-
<br />OWNER SUILDER DELCAR TTON
<br />I h.reby ll[rm undd p.mlry of lcriury rhal I m cr.npr frcn rlE ConrractoN Liccic Iis lor rhc tolhwuE EMn (S(.7o3 1.1
<br />Blsin sr and Pmfcsion Cod.): Any Cn, or Counry qhth rciunsx ! Fmn ro @n$rucr. rlrci inporc, dci'olish or Enai lny
<br />slrudue. prbr h its issldcc, also nglircs rhc applicol for such Fmn ro frL a .i8,Ed sd.mm lnar lE or stu n Uccnsd plMnl
<br />ro lhc prcvGions of tlE Conrrectols Licenrcd L€w (Chaptcr 9. CommcrcinS wirh Sccriin 7fi) ol Divi.ion.l ofrhc Ausi..ss Md
<br />Poacssn,ns Codc) or rhar li or sh. ir .xcryr ficEiiof, and lhc harn fo, rhc allcgcd .rc'nplion. Any violaliotr of Sdion 70:l 1.5 by uy
<br />applica for a ,*mir strb,Nrs tlE at nli.mr lo ! .ivil p..!lty ot @r mrc tun fiv€ h!n&.d dolles ($5m).
<br />-1,
<br />s. ovrer of rtrc prDFny. or my cmplorr.s wnh w.gcs us th.n sk 6ml.ns!rio.. eill .lo rhc s* .!d tlE snudr b ml
<br />inreid.d orofier.d aorslc (56.70{4. BusiE$ Md Protcriions Codc: Tte Co.lBclols Li.EN t wdcsrcl.pplytouo*8of
<br />thcpmpcny whot k s m irpro*s lh.mr ud qlD dc6 Mh w,t nimscror hcselfor lhoush hi. o. hd owncnploye.s,
<br />prcvidcd ihar such irpomnk 6mr int..lal oroficFd f( sL.lf,,!EE, rlE biEnE tr in{mwnEd isstqnninom ysr
<br />ot @n{JLion. rlE Oeftr Blilli wiU haE tlr hlrhn 6f povhg rhdr h. d slE dil rcl hrill or i,prow dE p,Dpsry for tlE prrp( e of
<br />-1.asowftrotfieporErr.m.iclusivcly.o.acline*nh[eNdc6.rradof,ro.oBlf,Elth.poi.rl(S(.?044.B6imsdd Profdl,. Codc: Thc Conk!.rols Lic.nsc Law dms nor lpply ro M owrcr or prorcrl, who blilds or inprovcs thcr.on.
<br />a.d who conrrcts fu sel rmF.ll sirh ! Conrhcro(s) Iie.s{ Iu*Mr k, rh. C.nrerods Lirne Lrw)
<br />-l
<br />mcicnpt lnder Sar B.&PC forrhi\ rc,sotr.
<br />lrnrr rnrnrr
<br />tllr85E&i:l:lrMtrNsAlll)!
<br />DEEI.AEADON
<br />I hcEby smmud.r pcnalryotFriuryrn orlhc rouoeine deLnlio.s:
<br />-lhov.edwillmi
<br />ain r C.nifr .ofcone ro Sclr'ln$rc for sorkd omp.n$lior.s pmvi&d for 6yscrhn 1700 oflhc
<br />t bor Codc, ao, tlE pcrfor@ of thc mrk for enkh $. Fnil G LssEd.
<br />=\"a willnruinrainNorkcscon,rc\rrioninsoraid,aircquncdb!sc{rion17(r).rrhclaho.Codc,lorrncpcrfonun.c.l'
<br />c{nicr ord Flty numbcr uc.Y '-2b {
<br />I ccniry rhd in
<br />'hc
<br />p.rro.nrmc ofuh. wort for whi.h rhis p.rnlil is issrcd. I shallnol cnpbydnyrE^on io Eny ma..cr
<br />e !srot<om sutjcdio',rc{o crs cohDcnslrio. hwsoicalif.mid, ud aer. rhrt irl rhould tEcom subjcl lottE
<br />wortcrs comp€nslion lmvisions olSsrion ]700ollh. ktor Codc,I rhlll. ronhwilh.onply wilh rhor pmvisions..
<br />WARNINC: Faihrc lo scurc vork$ s.Ucnslion .ovcEgc is lnhwtul. and sholl subjcct u crriloFr ro cim..l FMllis and
<br />civil lincs up lo orc hundFd rho!$trd ). in oddirion ro rhc co( ofcinp.treti.n. damScs rs provacd for lh.
<br />LrclrNtlllcoNlS claa
<br />DI:(]lAnrUlllN
<br />tr(nJ- r 'N rrdFr a rtrdllLl.. rrrrr.r q<b
<br />lqN trl(IAJ.L,[lilrjlCrI.(i.8I(I
<br />I hceby,rfirn udcr Fnalrrofp.rjuiy rhd rh.rc isa.on(d.rbn lc.dinS a8crcy fu lhc pcrfornrnc..flhc wotk for whi.h thn Fn il
<br />h\!cn (Scc 3097. Ci! C )
<br />A-tfu( Nflrx(raBAlloN
<br />Ilr|hJilh uidrr tUrdlrt .l Nrlurt ooc olrh.lnlh{ing d.cl nrions
<br />l).nNhi,,tr Pcnnir$Arh((os N.riricrrn,n t)clcrrl Rc!trlri'n,\ flirlrilr. Pxn6)
<br />R.quncJ larcr of Norifi crri,n,
<br />-lccnifrrhlrrh.ltdcralnsulnrio\nlrdine,\hcrusto
<br />r,vrl ri. tror rlplic rlck,lhhp(+cl
<br />-l
<br />enilyrhnr lh0$ Ead rhn alplicurinnund \r!rerhlr rhc!h)!c inronuri(,n ir.on .r LliN b .omply wilh rll Ciry and G,unty
<br />.r.li.rm.{ rnn Sr .laws rbri ro hoildinS.onshcriotr rd lrcrcby luhorn rcpEienhrivcs of rhh cary ord counry to cnrcr uF
<br /> t,fl.rnr or Agctrr Signrrur.t\ u)\av-< (
<br />II
<br />I
<br />Furnace
<br />lnsulation
<br />Grease Duct
<br />Above Hard Lid
<br />Meter Release
<br />ahov. entiomd pmFrly for
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