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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNEI BUTLDER DELCARATION
<br />I lE.!y.lTm uidd Frb, of FrEy thr I oaaId tom E CotrEcrd Li.tr t * fd tlE blbvi.3 lEn (Sa.7oll-J
<br />B6in lid Profsio! Co&): An, cn, or co!d, *hi.i n q!n6 . Fht lo o.rru(! .!6. i'{.orq ddol!! ot cFn ev
<br />tu!.ru., Fs ro t, iBle., .rb GqliG tt 4glisr tor sh Fnn lo 6L . .i9.d nraa lha lr d 6. it li.6.d F!$d
<br />ro lll. F!!iio6 of UE Corh.ro. t Li6r.d L.w (ct f,6 9. col'lllEiry *nh scrb 7000 or Ditii'i I or dE BsiE ald
<br />PDEsbNCo&)d$.rb.drLid@F Et&@ -d dE nt fo,ltc.lLr.d aolFbr A.y violaio! of s.dbi r0ll 5 b uv
<br />.t li..d tu. FBir Eb5l! rtc .rptir.d lo. civil pcoh, otDl @rc ft6 nE hso.!!d doll,t ($m)
<br />-l
<br />- o{G or0. FoFry. or o, .t@bJ6 wti r4. . dEt -L @d?dba. wi[ & dE wt -d dE riEc a Dl
<br />nraa.d d of&r.d 6r .t (Se,?Oaa. &!iE -d ltokis Cod. Th. Corrtrddt li* 1& .b6 Dt Illy b n o*c ot
<br />t FF rb hiln r iqn6 tbaa...d -io &6rdr Et hir.lf or hd*llq dtoq,i hi d i- om.t!Pbr!-.
<br />r.oviLd $r r,.t iryold c D. nd aoetd 6. rL l(, how. rl. hdrlir t iqsd iDAribc rc
<br />ofEoglair. dr ol,c tuilrr rrll bG t hrrbtofFDttglh t d ft.ld d hr! a irylvr & Ftpdy btu FDO.of
<br />d*rordftslDar,rarrndyo*-ilwitlk6.do.-l !o comEl rlE FlF lse. rra. aiE
<br />*'d h"b' cod., TL con .dq'r Li.* 1., &a Dl ely to - ffi of FoFrr riD toil& d inFlG Ua-!,
<br />.!d *t6 6fr.d! ft. ,Et Fid! wi! . codEdlo ltaicd Frad lo t[. colr..d6! ti4 ld).
<br />L.Mfr-*
<br />I ia6,.ftuE u& F.ry of Fidr c ottt b[@ha d..hii,al
<br />-t
<br />hw -d *illtdDLh. crtri6'r'of cocr to sdf'hrt! fc Er6 dlParri'r ! FlvilGd br t, sc*r
<br />'m
<br />of tL
<br />L$o. C.dc tur Ur. FbtE&! ort!. 6t ft( vti"h tb FEi i n .d
<br />t h,v..td will mi.r.i! udd .om!.crion iEl)lu( s r.qun.d by Sdion l7O0 of rh. ldsr Cod., tu lh. Ffolrll4. of
<br />th. worl fm shth thi' Fdil b t od. My mrk6 @EFlrion idure. cait lld Poliy nunba e
<br />fiZf .or't,r,,l i, rt" poro*. or$. worl ror which thn Fnn i! isu.(, !h.U nor snptoy dy pd.otr in uy nllle
<br />L& !lobc.N tid ro!h.w*6'@4@d.n hsofc.lifoma lld tsG rhd ill dFuld bcom 'urrdl ro u\.
<br />hrtd' ooFE rio! FovtirB of S.dbo 1700 of th. L.t{ Cod.. I rldl. fonhrilh mody oith ltor FDviraoN..
<br />I|ARIIING: f.ilur ro B@ sdt6'6q@dbr @vE s. !' 6L*tuL Ei lrd tubid e ddoF lo ciEii.l Frlt..ti
<br />.Ml 6!6 up ro oE n{..h.I $ouod dotlsr (lloo,o@). h .<!nb. ro rhc .or or 6npa.dioo. dnl.d r Fovir.d fot E
<br />s6li,r.1076 of$.lrborco&. i a6 !d dorEy.!
<br />IJSESID.CONIIACIqI
<br />!EC!dTAIIA!
<br />I hd!6, .rEh r.& pdry of paiwy rt. I o [c.d Edq Ftii, of cl!{a 9 (.!,rltl!Ei!. wnh s6tb! ?@) of Diviti, 1
<br />of rlE &silE id ltDtusirs Coda -d 6, li@ i io 6ll for d .&.r
<br />tjl* cLr:-Li@ tl@t-
<br />colErulcuq!.lIllllG..cllcr
<br />I lErtr rfi@ uda F.ry of FjBy th fiat ir . odudb! Itdir .rc, e{ dE Fft.tlE! ortu rul 6r *tit Uir FEi i
<br />ier.d (Se. lo9?. Ci!. C.)
<br />AIII.ICAILIICIJ8AIIA!
<br />I tcrb, .fta u!d6 r6.ry or Fiury oE of th. 6llo*i!t d..ltrbu:
<br />DqElirb. i@il}Alhdor ll$dftrliD r!d.r.l R.guLlioo (tilL ,O, P.n6)
<br />_R.quir.d Lctd of tL.j5.nir
<br />l\rr'l\rl,rrrlrl(l.rrrqrirons'usrdtr,gx\l$n,s,.trrtr, tr.n,!.'t,t)lL.rl,lrk,rhtrt)i.rr
<br />!!rt ie aF6ordi6 6f lhir ciry !i counr, to orq qrn rlE
<br />t'74.t1
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation ,//v/tz t /t>-
<br />Rough Ductwork U//lz E h,orm-/A-
<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 />Openings
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech.4lrh, 4 'rwlYlnrr tfv//
<br />Final Test
<br />Meter Release
<br />FINAL t-27-a^o '/r'eh+?a
<br />-q/)
<br />COMMENTS
<br />-.J'A41-
<br />.t v. m6lior.d Fopdly lor
<br />rogL
<br />Smoke Deleclors lnstalled
<br />Notes, Remarks, Etc.
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