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APPROVALS DATE COMMENTS OWNEN BtIILDf,]R DILCARATION <br />I la6, .ffr, u,& Frry of Fjury li. ! a a.n$ 6d tlE Cdrrt(l6 Lila rrw &r. rt blbsila ts! (Se.70tl.5 <br />Buiia ud Profsio! Cod.): Any Ciry or Cou,ly whhh ..quiE t Fnl to olrtud. .iE. iEF.E &bti[ d lr.i ri <br />tasllt Fi' lo ir ia-E!..ho n{'riB dE arrid tu un pqEi b nL.rt .d flon ftr i.d $. i li(E d Fnd <br />ro rlE Flvbio6 of 0r. Conr*lG! Li@nr.d L.w (Clulllq 9. Comtrils vnh Sdbn 7000 of Divnio. J of rtE &ui!r ed <br />Ptoftsid C.d.) d dll t 6rt baaq thdrrod.d &.trit ft{ tn.dksGd a@Fir. Aly viobid ofsclb6 ?011., br o} <br />opli@r for t Fih $biE1t tt +plic.!r lo.cirilpa.!yof !d tuErhd fiv. hulddotLrr (1500). <br />-1. <br />n (,{E of tlE tDIErr. ( ny.tiplor!.. wih yrga s rlE! $1. @.p@dtr!. *ill& dEwt.!d d.6dG i not <br />ida'd.d d otrs.d for rt (Se.70a4. &!i6 -d Ptot-i6 Co&: Tll Cafi<tr'! LilE try &d Di Sly lo - otE of <br />dE FFlr eho toib d lqlB thd-n !d wlb d€ &d *ot hiMlf or h6*tf o. rkouah hn or ha om 6plor.e <br />Fovir.d ttd *n i4.otd G tl nai.d doturd 6r rL l( hol6!. dE rr,iq".B 6 i4.lcd i $ld w$n * )cofcdrokiE llE O*c Buikla wi[ Uw rb. hm,(n ofFovi,{ dlr ltortE dn or b(ild d iqr@ t E FoFry 6.dEF raof <br />-l <br />. 016 ordE FlFry. E 4l!iv.l' oddiis dn lkq!.d @edn! ro @,anEt tlE FoFt (se. 7041. &dEtld hltrna Cod.: Tt.Conrn {o'r Li.@ t w dor ml +pl, lo molff ofFoFry who billl3 d i6FoG lhd@[.!d $b oern ftn u.t FoFll wtl I Cod-dt.) lior.d Frerd to tt. Codr..rd t LiEg L.w). <br />lrrrr -:7 I Cr-4rr.rt ,..- <br />I lE t, .,Iim ur& pody of Fjuiy <br />-l <br />t& rd *ill did.i.. cdrifi.r.of Co|er |o S.lf-h.r! ft. Etd mF!.rid\. Fovi.t d br b,sa,rb.l?00 of rh. <br />L.td Cod.. fo, 0E prbt!'e. of lh. ftrL ftr Bnkh U. Fdn b iBu.d. <br />-l h.v. &d eill ori .h wort(r .omFN ior ilsulMq 3 EquiEd t y Salior l70o of rlE t bor Codc, for rh! FfolM of <br />E w* 6r wtih lhit Fni t ir.d My wla' 6npd..bn iM. ffir rn poky Nnhq c: <br />-l <br />di! rhr in 0E Fftalte. olrl& wml le *trth lhn Fbit i! is!.d I rlul, et @ploy &y !a&. i. oy ouEe alo taod rubier ro IE slr6 orqddion Ls orcdiftlmi !d +E rllr irl cbdd beor Dbixr lo rl. <br />$o d' otrrFEni,o Flrnia of S<&i 1700 of rh. L.tq Codo I llrll fonhwith.onply with tlFr FDvilios.. <br />.tr,1 r r\,t)r,,rrrhi,l'.(trli.h,Lil,lf ). ii rd.lirio! ro dE ot of .s,rgddioG drnt6 6 FovilGd 6r rlE <br />I hottr rrlm undq Fdy of Fiuy ti I m [G!.d u&oa( hq'16 q (.o$nrftint snh sdi.n 7ftxr) ol l)N rNn .r <br />ol th. Bui6 ad Pnf*ioE Co.te rn Ey ft64 b h tull 6r d.fEcl <br />co,{srltlcToN I rtnt c lcrtca <br />I holby tttthuodt F.nyotFrBr&r E i.6erri.n bdi.s.sdcy ruttcF&ittrc ofdE*(t tu w&irtb FDi i <br />ba,.d (sc. !097. Civ. C.I <br />Altltcauttlct aEAIlo! <br />I br*y r&r! Ed6 pa.I, ol Fjury o* or th. blbeir8 (bldrbG: <br />Daolii,n P@i!-A.b.t6 t{o.i6idtn F.rbrl R.adiin (TiL rO, Pr6) <br />-R!$ind <br />1.fi 6of Ndi6.ri, <br />-l <br />carit dlr rlE 6ds.l tlalLriB EgrdilS !t 16 rorv.l e 'd lgli..6L lo tlir FDin <br />-t <br />.arit dlr I lrE Ed thi qrlt rbi rd rrc Ulr rh. &E irbErir ir dEd I rac ro @npt with .U City Dd Co6l, <br />ordinmcG erl stalc liusclar'ns hildms codruclio,! ax, Hry .dho.ir EFeInnB of ltir Cny !n Courn, ro onq l?otr dE <br />.no!. @rinrd Fopdry fq <br />Arplt! r ASEi SiED!@: <br />It <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 />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 T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release <br />FINAL <br />Notes, Remarks, Etc. <br />MECHANICAL-INSPECTOR RECORD <br />ID/SIG. <br />Poli., tlrd.,: <br />'l <br />U <br />Above Hard Lid