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APPROVALS DATE tD/stG.COMMENTS OWNEi BUILI'ER DILCAR TION <br />I hc*y .rIrn @& F.X, otFilry t I a q.@r t!6 tlE Cot6i liqE ln lor U. folbwiia Ed! (Sc.rcll., <br />&!ind .,'d Prcftgior Cod.): Any Ciry or Courny whi.h Equi6 . Fdi lo 6in ( .na, iep.!rc. daDu.h o. Ep.n &y <br />toucc. Firlo tr i.,tE ,.ho rlqtiE 'i. Alian 6,.rdFri lo [t.ttt d rr@l rhtt or i. i !i.q!..| Fr!! <br />ro E Flvnioo of r codrsoi, Li@..d Lrw (ctuF6 L coEl@chg eitt scrion 7000 ol Divnio. 3 of tf. BNiIB ed <br />Pb&sbB Cod.) d du IE d.t ir qqDF lta!6o6 od t bi! br UE.Lscd qqrdih. <br />^., <br />vbhin ofs.dih ?O!l t !y oy <br />rp?li6r for ! Fhil rubjeu ln. .lrlior ro . civil D@iyof Dor @rc rhr livc hui(H <lollrrr (1500). <br />-1. <br />6 (ffi ofth. FFry. s hy dplora with wrg6 ! rlin sE @ipduaiotr *i[ do dE 6t ad ltE ,tEe b bt <br />ircd.d aoft.ld ror rl(Se.roaa.8{iE !d ire&.bdco& Tt Coddc.li'. la &q 6l +ly io ! olE ofrt FFr, *l'o hil6 d t4.o€ llEEr .d wto &6 !.h Nrt hi@lf or ltd*lf or thD!3h hi. ( ha om .@lor!... <br />Fsvij.d Oe B! iqDr€l6 & rd irodd dotu 6. rl. lt lE9t6. tb hrirEs d iryovd irsbvin!@,E <br />ofqrpttiEUEO,EB|ilkwi[LE0rhrtbotFortrLlEdtrdnolb!!dirylEln.FlFt6itt F!p..of <br />l. ! o*c ofrh. Fopdt, e ddui*ly collrr..rills vnh licd$.d codr&roa lo o.rtucr rlE Flj.rr (Sc. ?044. Boirdrd Eoiih Co& Th. C6rnr-6r'r Lte L,v &G Dr elt ro oI FDFry wto hoil& d idFo€ ltdE( <br />fic Colm.dor't LtqB le).ud *,tb @,ird. ror $.t piljd! *nh . <br />;).ilWt1; <br />DEC|jAAIIA! <br />I h6.by.mm uids ddryoaFloryor.of th. aonowiI{ d.ck lioN: <br />-lhlr.dwillmi <br />rh r CaritEa. of ColE'r lo SdfltlN 6r *fitd omFldbr. B Frvid.d 6r bys*rio! 1700 of 0E <br />lrt . Codq e. dE Ffalu. of tlE wi fa *fin th. FEi i iE d. <br />-lhrw.!dwill indn *orto orlpdnbtr ilEl]tre a EquiEd bySeli,o 1700 of$. t borCo&. for tlEFfsllecof <br />ln wt Iq whi.t lta FEn i] i$.d My vorl6' otrp.rrb! iffi. 6i, .n poky nMb6 e <br />Poli<, Nltbe-EniE <br />I .diry $r ir tlE F6.rtle of tlE $!rt 6r *Ath fii pqnil b is.4 I rlrll mI at9by ry Fso i! try ElE <br />! 6 to b@tu uti.ll ro rlE mdd'oEFlrion hs orcdibdir, !d +d rtr if l $ould bdom.ulicr to rlt <br />w*d' @,ryr.rbn FovirFB ofs.dion lrm ofoE L.tor Codq I 3ltl! fodr!,tt @Eply vat thoi ,roviio6.. <br />IIARNING: tnhE b ff sorld otrpddi,. <br />civil fi6 up ro of,. hun&.d rhourd dotle (llm <br />rldl ubixl E oploF lo airnd Frr(os ol conFN.rioG dm46 E provid.d <br />Code i cln Dd nr.m.f lD( <br />Lrckr$Fn oomn^ame <br />DEL'AAITO! <br />I hq!t, .frr6 uldq Fllty or Fju.y llln I E licd..d iD& Fovi.ih ofclrflE 9 (coi6.r.iir with s.diD 7000) ofDiviion l <br />of th.tu a a.l PEttiE Cod.. -.1 Dr li.c i b tu! 6.e -d.ft.r. <br />Licc. C!.$r Lr@. Numbq <br />D.r.r Co.tndor. <br />coNsrrlrTlG{ l ranft{: ]rcailc.v <br />I tdtb, dro 'rd6 F.r,of F,ry tr tidt i.6nr6b.Ia&a ra, e. lt.r.t e of ll. Et tr t 6lti Fui i <br />L.u.d (S€. 3097. cn. c.)- <br />taddt,{.lta <br />- <br />ATIIISATI.DECTJXAIIA! <br />I Hy rtEE si& Frry of Fjsy d of llE foDowing &.liria: <br />Dafthbn Potu'A!b..(d Noriforioi F.d6.l Rquldim (Til.40, P(l6) <br />_R.{!ind tdq of No.i6..in <br />ldu*,,,, <br />it rhr tlE f.d6dl r.guhn6 sLis lgmrd a. lEr ,Pli.rbb ro rhi Projdr <br />rhr rE.t c hLndiE ir.6E I tgc lo @mdy rit dl Cny dd Cou{y <br />f,Jtr,r r..\ ,n! \1.i. l .trL\ad h@by anlbda rcFejuti6 oalhit <br />&o( eri{.d proFry fo, <br />Aprli.ur or AB6l S,gdw:Glffi5- <br />,Vrt;;";i <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. 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 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 />Above T-Bar <br />It lr a) <br />Rough Mech.1l?tltt Wrt 14 ,K4lA/ <br />Final Test t, <br />Meter Release <br />FINAL U/Vr'/?//drutt,7U/@/ <br />Notes, Remarks, Etc.,frt\\n tru e)^ilMo 1 voz)>roYctu <br />MECHANICAL.INSPECTOR RECORD <br />ll _,--.d <br />i <br />I