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MECHANICAL-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNI'I BUILDET I'FI-CAR TION
<br />I h.rchy lfnrh !nd( F.dxy .r FDr, rh.l I m cr.nrr fion rlr ( od.{m LiIft l.* r,, rlE t lrorn! rasn ( Ss 70.r 1 5
<br />EunFr .rd Prof.(n. Cod.r Any Cny or CNd! qhrh Equir.r r F.Nr ro dflrM!. 1116. inlmE. &tnhh or EFn M,
<br />irructu.. prior tr it ir$sm., el$ EquR. ltu arpli(snl Ir !u(h FnI h nk r .(rd rr.lcm tnd lE or tE F liYntd Flud
<br />ro rh. F,ir.nr or trE cl,.ne-|( r l.icnrcd lis rcrEt,d e, ('onlrNinr $irh s<ri Turr of l)iviri,n I olrtE BuriE( !d
<br />Pn,rcrsi.'nr C.d. ) ., lhd ll tr ilt n .r.o0l lhci.rnrnr md lh. h.ris lnr lh. olhg.d .r.m0 i,n. Any li,l.lion o( knn ,01 I J by rny
<br />,rtlk.nr rn . Fmit subxdr rlt i|?ltrtl io d ovrl FMtt.l ml mra rhi fit. hudEd.loll.l.lS5lI)r
<br />-1.
<br />n .wffi olrlr FtrFny, c iy.n?htit shh h36 ! rh.i nL(,!F6rhn. liU& t wt rn dE rnriE ii td
<br />ird'd.d dolYdd fd -l ls<.7oaa. BsiE$.d Prcf.dotri C.dd TIE Co Err! Li..trE Lt* df ml.pplylouoekol
<br />dE FoFny who tqili! d iqmB ltEEh. rd *ho itrd ntn s,t I'iRr or ltElr o, ln@d ih d lEr oh.til,l'F6.
<br />FoviLd rh. *h hFrEEnr ft d irdd .,fimd tr -t. ll lnllE, dr hildht d irrtNt d ir rld *ilhh 6 ,tr
<br />oloqrLrhtr tlE ol,*r Build.r ril hE llE h,nar ol FovlB lL lt c dE dn r, hud d i4oE rh. FltEr, nr [E ltFE of
<br />-1.
<br />B ffi of rlE Fqdrr, d.rlriEly odt-litu rlh lhcn ...rr-rd r, odtEr ltt FF (Sc. 7044. BBi,r
<br />!d Erasin Co&r Th. C.nh.ror'r Lic.nF L.r dci ml {,?ly ro r .wG ol FoFn, tho trildr d inqo6 lhd.@
<br />td *ho 6firt fq *t Fni(r*lt.Codn rdrl lirrEdFrsr lodrco,l.xrdt t](as 1,r,.
<br />I m.rM un&r Sdm .B &Pc.L,lhrrer
<br />Irar.lll)Xf,llr:glUlIlIrltl0lil2r(Lt&[l(a
<br />I h.'.1.\ rin,un,l,altnnlr\ollt'[nY,i!,,1rh.l',lii{''rdr!hlnrrr
<br />-l
<br />hE rn -i[ dill.h . C.nlfrl of Cotr-nl lo S.ll.ln!!E fr *6t6 c.,IFntrrion, .i prc d.d for by Seritn ]rm of E
<br />tyf,*. r* r* r,r** or ,h H,t id *hrh ,h. Fm E iNrcd
<br />l(rtEw.nd *ill6'n!.i. hltd errENlbn i@nrc. .r ,lquiEn by S.da61r@ of lh.lra.t C.*.lor itt Ffffi of
<br />rL w,t d rhth rhn D.tu ! ro.d M, wlqr' on!.n!ri . mmR ffir rn loht nunih.r s
<br />C)
<br />-l
<br />enity i h rlE Frlm of llE rort td *hth lhn Fmn ir krEn. I !h.ll bl dpldy e, F$r in dy trl.lB
<br />$d iI I iDUE tE$r onixl b dE
<br />h d!.rql! *ilhrnE |n,vibni
<br />!\'ARNIN(; l.irltr,c r, r\ur. \,tr1.^
<br />,!r hu il'.J rl'. .ril
<br />r,,,,,,,,,,,,,1,,,,,t,.,",,1,,,,,.,,,,......,
<br />^, cf ,, f za
<br />ril {.ll sbi.d u.npbF lo aitnd Frlit rd
<br />1lrll, \'(lrrrrrrr rrnl , rlf, ..n nl .'trnF \, L lir'8c\ r\ f,o\tr|(l r,, rhe
<br />utr:Nflr_(l)til&rr.llBlJrg.3ltu&r
<br />t hcrcn! niftm url.i FnrlttolIrUury lhll I
<br />or rhc llutirEsrnn Pn,L\\i,n\ (iri.. dn I
<br />rn tr.nYll nn,l.' In'trtrnrr
<br />"",L 22 (i'rra.ror
<br />grclau{Jtt}t.lulltrG-aliENcr
<br />I h.r.try rllrh u& FBty of F iury rh.r lhm n r onrlulhi Lidinr .rcay for l,E Frf()irrlm of lh. tutl t r r'li.h r$ Frn I
<br />ATIIICAAI.DECTJSAII{JU
<br />I H, .rItn uds Frry or Fjur, c or 0E hlr,*ir8 dEl'.rbdr:
<br />D.mllnr P*nilr Alb.nd Ndifdh Hcr.l R.phh.r (TnE 40. Pd6,
<br />JlA.quk rl t dor*rlfdir
<br />/:
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lqsulation
<br />Smoke Detectors lnstalled
<br />Rouoh Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Ranoe
<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 />Rouqh Mech.
<br />Final Test
<br />Meter Release Ir lr I
<br />FINAL owr/&0 WI4IM fr4
<br />Notes, Remarks, Etc.
<br />ID/SIG.
<br />,*. t-:Ak tqs.
<br />/,-
<br />'hrfr.'qr1,trntrrhnrs{ hS.efutrr7lrrrr,nlnrhn l
<br />I 1e
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