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AP PROVALS MECHANICAL-I NSPECTOR RECORDDATEID/SIG COMMENTSiances <br />taMe Fi re Place <br />Furna ce <br />Eva <br />Com <br />Misc.ent <br />Duct Work <br />NSPre-l u latio n <br />Smoke Detectors lnstalled <br />Ductwork <br />T oilet IRoom thesClo <br />R an <br />Vents <br />Other <br />Hood <br />ll Hood <br />Grease <br />I Hood <br />Test <br />Fire <br />o <br />lnstalla <br />F.D. <br />Above T-Bar <br />Above Lid <br />Meter tT-FINAL <br />tl \-- <br />htrcby rflkm rurxlct pemhy of yrrjury thu nrn ctrrnrrt [ttrnt thc ('ontnclotr'ticcn*c l"rw [trr thc folbrlingBurirrcsrnJProfssionCtr&l;Ary Citf or Courty s'hkh rfiFrrcS <br />tql*trn (.$.r.7o.l r5 <br />Slrrrlurc.itr <br />pcnnrl lo coltinrcl.rlto.amFntr dorplil ol rqrrr lnr <br />I to l3SU'rrc.rko reqrbcr thc e;Plkrnn fot tuch rrf?rri to fik rrrncd rhlu hc or rhc rl liccrurrttheFI)I llriottt of thc Contrrctor'r Liccntsl l an,1(lrprcr 9.Comnrrx'ing q'ith Strtirn 7r)00 of <br />f'tlrr$ril <br />Prufr:sionr ftxlc) or ttrlt rlr b <br />Drtbirn 3 of ths []usrng:ls 3rul <br />o;rylic.rnr <br />c.rcmFI lhrrc0urn nnd thc hrsit lor the nllcpcrl crrrnpirn Anr'viuhtkrn trIScrtirn ?01 Ity anvfrrro p:rrnit nr$cor tlrc opplrcanr citil pcnrhy of txrt nnre lhrn firc hunrfocd dollnn (S5ut1. <br />-l' <br />sr olvncr of rht Fopsrly. on crcllivcly corlrocting rdrh lhcrurel crlnrnxrorr ro corranf,1 rlr pulrr (scc. 7G14. thrrincsattd tt.,fc,rin c<rdc Tlx contnstor'r Lir'crtc u.,, ,r"L nor epply ro en or"ncr of pnpoty rrho buigr ar imprurcr tScrsrarnd rr'ho clmrlc8 for rrch polxrs uith r Codrador(rt lkcnrcrt prrrru"rril to rhc (irntnorr'r Lir:rrrc l,r.). <br />,t, P.C.rEtroo. <br />I hcrclry ullirrn under gnalryof plrry-oo€ of rhc <br />-l <br />harc lxl $'rll rnainain e Ccttlfruc of Conrcat to sctGlnnnr for *urkat' conrpcrrrrinn. n prrtilrt fr b.sortnn l?lJo rrf thct.ahfi Codc. firr thc pcrfonruroct of thc <br />'nort frr *lrich rhc pcnnil tr bgrqL <br />-l hrtc orxl will rn'riCIria rvottcrr' ctnryrnroriorr imonare. ar. mquitd by strrbn t?o of the llho, ftxlc. for thc pcrfonnencs ofthc '*rrt fo'r rvlrich thb pcrnrir b i'od My,rrurrtrr' ;n*;ion im,ruro ;; ond ,,oliq nunrbs 'e(larrcr <br />l'olky <br />Sr lo <br />tlrir frnnh is <br />of Cslifornh. <br />bsrrcrl.th;rll ,xll onploy,xll}.r(TE$n tn any monnc, <br />rrot*cn'clrnpcrrsUion JrovLirm of .trrrbn <br />ontl ngrcc ttrat irt slmrrld hosoux,suh.ierr lo tlrc.17(D of thc l-rhrr Codc.3lrrll.ftnhu'hh conqrl;-whh thorc provirnns.. <br />llAltNlN(i; l:rilurc lo iecurc sorlcrri.corqrcrr$iln cor.cnrSi <br />dolhrs (5100.00C), in r <br />ir unhryfirl. nnd rhall rutr,|ect an anrploytr to trtniut gnrltir end(unpGynuion. drrrugcs r ptovidcd for the <br />ciril frno up lo orr hrrn&cd tbounnd e&Jititm to rhc cou ofSctbo .1076 of rhc lrbor Corh htcrcr rrd ruonry'r fer:r <br />I lanr4, affu m unrlcr purrly of Jujury rna t on hctnttrd undcr 0 (crrmrxrrcrng u.irh Scaion ?Um) of Divirion tof the Oushcss rnd profcsrbm ('odc. rnd my licansr b in ftrll force ond cffcrt. <br />l.tcenrc <br />Dntc: <br />.thcc il r conclruairn lrrtting "$*,r), tb,,l*,*{i*u.rrrcc of rhe r,rorl for *.hich rhb }rrrrua c <br />lrntlcr'r Addrcr: <br />I hcn6) allinr urrls prmly of gcrJury onc of th. fotbwirg dcshrdiorrr: <br />Dcrmlibn ltrmirs-Arbcrrc i{qiirrrim Fcdcrrr Ra3ukuiou (tnle 40. prn6) <br />-Itcrluircd <br />[*.ttcr o f l-torificuhn <br />-l <br />cstify thu rhc lhbot rq;uhbru rcarrriq rrbcrror rurrorel rrc n.{ arylk$h ro <br />('omty <br />u[no <br />Agrlicmr rr Agcrr <br />l'crrnrlcc ntrntc <br />rlrt <br />thtr prtjr.ct. <br />O <br />the <br />q-ra <br />- <br />Final <br />--- <br />_l an <br />t)rte: I <br />NU]!IB': <br />t <br />Contnctor: <br />Lsxler'r Nrnrc <br />ccrtify thut hme rrnrl thir <br />anrl Stntc buiUingrhrtc rortbnett propcrry frr <br />.L <br />(1rinr)'