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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE IrlTllc;COMMENTS <br />Appliances I <br />Ivletal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Ivlisc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rouqh Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Ranoe <br />Other <br />Hood <br />Type I Hood <br />Type ll Hood <br />Fire Damper <br />Openinqs <br />lnstallation <br />F-D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rouqh Mech.llultq ,U44/n ) <br />Final Test I <br />Meter Release I <br />FINAL ?h?///4 f),f,8/otl <br />Notes, Remarks, Etc. <br />oWN!:R BUtI,DI]R DI:I,CARA'f ION <br />I hcr.by rlti uulcr n nrlry ,,1 F-rjury rhd I nD crc rfr lion rhq Cnfttrtrr l-i{n{c l.rtr I{n rlll li)lki*inE rcr\nr rS( 7l):ll 1 <br />Btr\inc\\ rl I\ l.sn Cdlcr Atr) ((y or (itr ly shi(h r.qtrir.\ r p.rn,ii t! .o (nd, .lh. nnrnnt. cnxnnh nr '.nrn '){rucrur.. t)rh.l,) ih i\\urncc. rl\o nqunr\ rhr Jflilfrtr kn {rh ltnnirL' lilc!\i3m(l ( crDr rhJr lIor shr a lrct{rl Nturtr <br />r, ilrr |n,rr\ot\ .l rtr ( orrt.l,{ \ l.i..n\c,l ltu' l( hrpldr 9. Cot ,ftcnrS snh Sccrion 7(IXl of l)iri\i,,n .1 of rhr A!\nr!\ an.l <br />l'nn.* ior Co(l. r or thar lL or.lk ir.r. rtrrhcrrlio r rdd rh. hrn\ nr rh. !lL!c c\cnlri,)n Anyri,nrri,)nofSc.ri)tr70115h'lrny <br />rtplicr turrFnn suhJcd\ rhc infh.itrr tJ d.rvrl J).trilryDl rxn nn{c rhrn fivc hundr.d dollr^ (S5(X)) <br />-1. <br />* owmr of th. ptutEny, or my cmplortr sirh vlscr a! lhcn s,E corytns.lion. will do llt wml &n tlI nn$w i\ mr <br />anrcldcn or o&,ed ror sb ( Sd 7044. Busift.e ..d Pmr.$hns Codc Tnc Conlrrloat Litnc bw ibd nol +ply lo u owmt or <br />thctopcny wh, t{ild( q iqh6 dEb( ,rld *ho d.*. skh m* hims.lf.r h.Rlf o. lhmwh hir or lEr 6m .nPLyc.s. <br />provt.d ltul such itrpmErnrse trn iihnLdorotu fw {lc l( th9ffi. <br />'rE <br />t{irding or iryrDEm.r t g'U sirhin om F, <br />of.orpbrbtr 0r Ovnr Auiu.r *ill IEE ln bu,n n of pmung ttd lE or ih. dil mr t{iLt 6. iqroE llE Flpdry for ilr Pulot of <br />Ln\oq.rolrhrt)'r|f,ny.dn.\cl"\ivclyc"nrdn!qirh!i.cn\cJ.o rrnn \ ri .ornnr.llx f(irc.r ISN 7(itl.llu\i'r$ <br />rtr(l lh'l.s\k (inlc:lhr(iintr.ntr\1-i.ctr\rIx*il!{\trrrJt)tlvkrJn"!r.roinnFnt*hobdildsornnl'or.\rhcrcut. <br />rrd sho.onrn..ntrnrchtniicr\*ilhr({,nrtu.rtrl\}liccrscrlpu^ nit)rhr(L rrtr'{l-r(.tr\cl.!trr <br />I im cx.ry,l undd Ser <br />ltaf,f,Elr$raMrldsArlll! <br />DECI.Af,AIIO! <br />I h.Eh, lffirnundcr p.Mlly olrE uryo* olrhc f.llowin8 dthErionsl <br />IhrrcnndtrillnDNdirr(tnraEarcoiCon{nrk'Scllln\urcfirsorkrico lrn\ trlr.{1 lr,rilci ti), byS.rrin,:l7lx) lrht <br />Irtxr (ixlc, ntr rhc r^-rtunumc ofrhc work for shi.h rhL Nnni n n{'cd <br />-l hlw sd pill minllin qork.c .on$.n{ion inuat.. s requitsd bt Sdion ]IJO of thc l,tor Cn<L. fo. in FrfolM. of <br />rlE work for which rhis Frmir ii i$!cd My wo*6s omp.nidhn in$ffi. fftr !,rd Flty numbcr e: <br />da'di ErpiE! <br />in lhe pcrt rmnc. olrhc wor{ ror whi.h lhN Frmir n nsed.l \hxll nor dmpk,y My p.r$n in !n, murcr <br />suhFr rorhc qn cr'con{E sario. hwrofculilornir, snd rCN rhd il I \huld tf,coB suhJccl ro lh. <br />wo*oc comFns,iion pmvhionx of Salion 3?OO of rhc ljtnr Cixlc. I sh,ll. r.dh$irh snq,ly with rho$ lmvhion! <br />WARNING Fsilue tu su. wo.k .s .ontEtrs0rion <br />ciril fine. ot b 6m hudrdr rhou*nd doll,tr (SI00 <br />Sdion 1076 ot rlt t,tr Cod., inl.r{ md .thmy's <br />m .mploJ.r ro aimirul Frhis and <br />n{rion. &roB.s !s [ovidcd for rhc <br />a-I <br />DTiCLA&UIA <br />oi rh.ltu\ircs r Pnn'.\\i,nN (inlc.3nl mr l'.rtr\r A i'r lnlll,Rrn d(rlr(r <br />6 a--8o <br />** lo-illT .,^*,* <br />I hcrchy afltm undcr Fn.ll, or Frjury rhlr rhcE h s onrMrion lcodin! l8.tuy rot ttr lErrblrw of rhc aotk for shkh lhh Fna is <br />lISIlsi lNfIIEl;IdBAIlnt <br />Ih.nl'y limuRlcrpcnrhyof p.rjrryoncof rh( tol).sintdc.lln k s <br />I}j n,lirFn Pcrinir$ stE$os Norifi.!ri,,n licdcralRc!ularions fl'irl. ll1). Pf6) <br />R.qrncd hncr uf Noriftrdi)n <br />_l cca il, rhn lhc fcd.Bl rcSulaliof,i EgordinS lrlEskx rcmul drc mr upplt$lc r. rhi\ Pmrd <br />-l.cnrlirhlr <br />I hrvc read rhnrlnltrri,)n rl {nicrl rht ion n cotrLu.I lgB k,.I,ntly *irh.llaily and Counry <br />ordinaft.s nnd Srar.tiws rchrin8lo bu by aurlhriz. rcprc{nrar ivcs of rhh Cny and Counry r <br />atrv. m nrncd pnEny for i[+_4 4-)o-l <br />Grease Duct <br />i\{ucdlS\.' :1ll97.Crv C ) <br />l.ndr''. Nrm <br />-