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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG. <br />Appliances <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work w-/,Pre-lnsulation 7o/ta -a <br />lnsulation LI <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Range <br />Other <br />Hood <br />Type I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openings <br />lnstallation <br />F. D. Drop Test <br />Above Hard Lid <br />Rough Mech. <br />Final Test <br />Meter Release 1 <br />FINAL 1 <br />I <br />OWNER BUILDER DEI'ARATION <br />I ffi, .fllm uoda Fullt ot Fju,y lbn I m d6!d 8on lh. Cot{r&lc Li..M Lry for lh. follow!,r reo (Sc 70ll J . <br />BuiE tn Pre&-bn Co&): Aly Cny 6 C@n, rtrth ,.q!i6 . Fni to o'.8. n.. iA.oE lboli ot q,.i {, <br />dutEcFi,bn i5ls.. tt EqriE dE +dtd turdFhn b fi.. ii8r.d flo6 thilEda.iU.olcd Ft$i ' <br />ro rh. lroviiio of rh. conEd*'' LiciFd hs (CtrFa 9. CoMini wnh serio! 7000 ot Divlion I of th. Bui!6 od <br />PDa<io Cod.) or rhd h d rL i d.q( rhd.ioi !d d! bda hr rhc.llecd aar$btr any vi,hbi ofsarbi 701I 5 b, uy <br />+9li.rd for r Fd oq..lt dE +pli.!r lo.civilpdlrof br DGtln fr. hm(H drllsr (l5O) <br />-! <br />s oua oftlE FoFry. or Ey opbFa sih wt6 $ dEir nL onPoBrio.. wil & UG Er ,!d tL *tdei' ol <br />inqi.d c otu fd rL (S...7OL. B6i!6 .rd PNbrirB Cod.: TL Co Eddi Li.@ L- &6 ml nply lo a orc of <br />EFotqt, *to hill d iqlE dEd. -d rl'o {i'€ *n 6t hi6dl d tExlf or rltu{D hn ( lE om dCrotq <br />Fovid.<tdla Et iryocEd.Gd irad.ddotu 6. -l. lt t rrq. dEblarltraiFrutd i-ldtit @rc <br />orqqlai,\ 0E o{c Bil&r wiU t Ett bda ofFovilr 0! h.6 dE dd Dr hrld d i,,lm tlE FoFry 6.D. Flpocof <br />-1, <br />- ow of dE FlFrr. e acluF.ry cofr*riB *ih li.q!.d Nd.d6lo or*tc dE Foi,c (Se. ,044. &i- <br />-d PDtrin Cod.: ItE Coiri.c6 . Lk.@ L.* dod 6r et, lo o ogG ofF$Fry who buiki o. inFoE Uo@[ <br />&d *,lE @!l.a$ for Mh F!j*r! wilt . C!'nr8o(i) tic&d purud b lh. Co,l.dor'r LtoE lrw) <br />I m .rmd udd sdm . B lt ? ( f,, lh. .a,tr <br />Drt.: Om6 <br />.u!85885:.CaMrA!ArA! <br />EICId8AIIO! <br />I hdby .tfm u!& ,6.ry of Dalu.y oG of rlE iolbviba dcldbB <br />-l <br />h!v. od will rinl.n! r Cdriff . of ConGl !o Sclf.lN@ fo. Frla mp.Mtioc s rroft.d tu by S-lion 1700 of lhc <br />trbd Cod.. b. ll. F6i@ 6ItL sri tu {tah tlE Fon a i$.d <br />-l hw. .,n $,ill riddn mrlo m6p@rrbi itBlllsc, r .q!i!d b, Sdbs rro) of lhc Lrt , Cod., fo. dE Ffollll.E of <br />rh. wrt for which rhi pdEh b ioGd- My wtrta @oFlaion iE! .. 6b ,n Pokiy nonbs 4: <br />LIB&.IY YIVTSL <br />,WA?/26tn&Pl3dt6 8.lt/0 <br />_l dit dE in rlE Ffro of tll eort for *hth $n Foir a iB!.d. I Jrll Fi qh, ay F$o io &t @ <br />- rro t@E $tixl lo lh. Etd'mFEriotr Ls olcdifrlmir Ed tE lh. atl.lDsld b6om ebral lo lh. <br />6na'@n!6.rionprDviliosofsalioElr0ooflh.L.borC.dclrdlbdwnhotrPlywnnlho-Flvirbd, <br />wARlttNG: r.UG lo EG wlo orp.r.ih @vB{. i 6l*tu1 ed 3i.! Ellil! r qroF lo ailird Frlt. od <br />ciril fi!6 W b c h,xH r,DEd &Un (J100.000), 6 ..ldiior to t .ot ol orpdrioi. {bn a6 t FltiLd 61 rl. <br />!!ga&\llo! <br />I lE6, lrIm urdE F.t, of Fir, $. I & lic@.d 6& Flvi'io! of ct4a t (dillEil{ *itt salbr 7m0) of Divirb. l <br />ol dE &dE -d h!frriE Co.L, d dy li4 i n tul 6c -.!ctr.l qL <br />qlgp ,".r-".r,* A0 <br />cq!ll:8rgj0!.il!ElE.Ac!!ct <br />t had, .lTd 'dda Futy olFJr., $. tn* i . odudin rilit lcy tu llE F6.lEr of lh wt 6r }ttd d'. Fni i <br />ieEd (s- loo7. civ. c.) <br />.U'JCAHI.DECIJTAIA! <br />I Hr .ftn ui& F,rty of pdjury orc of ttE folbvios dElmtbu, <br />Oool'lbn Pdaie&b.{6 r,lo(if'.aio! F<&.1 ltSdlb6 (TiL 40, Ptr6) <br />-r4!iRn <br />L.*r6 ol tl,otif.ii! <br />-l <br />c.riry thi ln. &dail EglhiE ,.8iiis !b.i6 l€oril E nor plitbL lo thi FlFt <br />AK-rit ,l', I Ir* r-a ,hb qlidih ed ric thr dE $oE ilfo(dbn ir dEd. I tc to onTly ei! dl cny ud coldv <br />oiditulE lrd St!1. us Glrif, to hildins eirtucrio!. !d hn b, &rhorir! cFG nivd ofthit cny dd coury lo ara won tE <br />.hoE nErnioEl FrFny for iBp.riioo <br />Appli.dr r Alsn Si8dw <br />r)l'mit* n@ tpri.0l- <br />.x -. , \1tolff <br />lzlts,, <br />I <br />COMMENTS <br />Metal Fire Place <br />Above T-Bar <br />/( l-ilrt fA <br />Notes, Remarks, Etc. <br />{