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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS OWNNR BUII,I'ER DEI-CARATIoN
<br />! hcichy llrtn urdd t'cNhy or F,nrt rh,r I r'n .rcrfl fn,n rh. G'nxel.,s l.itnE lj$ r.tr rtE follouinB Erarn r *i n) t l !5
<br />B,\iB( rd th'r6ti,n (1i.) Ant City o. (ounly rtth rcr|utcr tr rEni ur rtr{ru.r. dr6. nnt'(lvc. d.dnirh or rcFt t.v
<br />rlrutuR. Iritr 1,, ilr $un.c. rls rcrturc1 rhc otdi(!.r l( turh ltrml tu nl. 0 si8rcd nor.mnl lhsl lt 6r \h. h licn*l PuNr
<br />r(' rn( Iro!trnn\ ol rt* Conr(ktr.{ l-t..cd us r('haprd 9, Co'nnENinE *irh Sr.rFn 7fi1, or Diri(bn I nlllE BlriL\r inrl
<br />Pior.$i'n\ cdl.r o. rhnr h. or (hc ir cr.rfl rhcrcrmm lnd rh.lE\ir ror rrr.rL!.J ct.nrynn Any rhhli'n of sdhn 7{r1l.5by!n!
<br />lnrrli.ur ttr r ncm .ul,idc rtr a&lk!.r i. . .n ir Fc.,lr, or ftn m{. riln l ivc h! irctt doud{ (1500)
<br />-1.
<br />u o*ffi of rh. Fq*fly. or ny.nprrlEs with r.!d.r rlEi sb @tr?.6dbi. siu 6 n! rut ri lh. fidE i! lbr
<br />i'r.rd.d dolt rd t6 oL {S4.roa4. Bu*tar Dd fto&sbN cod.: TIE cotrreor'r Litn.l,rr do.t nol +dy 0o & ore of
<br />rhc FDFry who hildr or ItrprDB dEen !d wlb d6 rEi trri hidclr o h.elfor $m!8h ht! n hd om clPloyla.
<br />proti,.d rhr ftn iqroEBdr Gr lr6|.lddoftrd ti i.t.l( lFffi.l,r hildi'! d itrprocc|! i'.E,tlfi@ F
<br />orMpldbl! UE O*G Buil|a ril h.E rlt hrrto 6{ F.lt! 0r lr q JE dil d h,]d c irgot dt FlFry 6r dE FrF. ol
<br />-1.
<br />! F of rlE F!p.ny. lm.r.hlriEly oflrdin! wnh Ddrd odEr6lo otrrtud dt Fottl lse. 7oaa, SBiEE
<br />nc, olprnprny who bxild\ or imFrov.r lh.rcnn,
<br />r. rl* cl, r&kr'r I4n€ ljs)!n,l ahn (,trfrn({ntrirrhlno}tr\*trh
<br />7,\
<br />I lEEby rlrrm und.r FElyofpdi'ry oE oldE tolbshs.|..Lnr,N:
<br />-I
<br />IBE !i willdint in. cdrifEl. orcoElr ro sdf.hE fn wt6'@qEEdiE ! FDriH lot bysetbtr lr(D of tlE
<br />Llbo C.!dc. f6 tll. F fl,'rc of llE hrt tu enich rlE Frdl t isrc(t
<br />-l h,w lnd sill minlain w.rtc^ .orD.n.dion a.$!ee, .r EquiEn b, Selii lr00 ordE t,tor Cinc. tu lh. Ffdtu ol
<br />tlr hrt tu *nih thn Fnn n iq.d My rdld' @tr!.sdin h'm trii lrl Doliy m.ltb6 G:
<br />PoltrNld$d: ErpiEsi
<br />It(d'rvrh. r.th! nlrntrtrLnf,.,,lih. troil r $hkhrhtrIi,m'rnr{td I di ll tror .Dnl,,\ r',r P.rwD in rnv nlntur
<br />!, r\n,h.(o r {rhA1hrh( rolkrr..bn!\n$r$n LN\ol(-rl'ronnr. Jmlr3tr'c rlrJrn I \h{kl tr(onr \uhl..r ntlh.
<br />so'l.r\ co,,Fi\rr rr pn,n\i,)tr! ol S( hon lllx)ol rhc lJrn (,il..l \lHll. ktrrh$ih.o lFl) $'rhrhB l-n6tr,n\
<br />I dntl,t\rr n) dtrnnrll t\1u,1'r trnl
<br />n\IrLn.,ll r'S.\ x\ |n*![n r, rlk
<br />DEIIJAAII!}!
<br />I hqch! ultrnrndc, lcNlryolFlluryrhd I Bfl lienrn urlff n()rnir'tr otChal,r 9lromftRrn8 wirh Selrn 7O(r)) olDnnhn 1
<br />ol rh.ltu\msl ond lh't (hnr(id.,.fi1nry lir.n( n !. rull r(ne dnl cftcr
<br />Lk.n* Nnnhcu
<br />STEIIIIqIX}I,.EUMi.AGSI(I
<br />I hdby .itn urdd Frlt, of F iu.y du ttrr b. delErit rlndia rr.ry ro. dE pdtull.N of llt 6t fli sni$ lh& F ai.
<br />lsir.d (S(. 1097. civ. C.,.
<br />l}IfUl lfDI(Irr.EIIlU!
<br />I lrtrht)linn,uiJ( t{nnl!\ oltf,rrurJ.N olrhc tull{'trtr,S (l..llrrtr r\
<br />L(tri)l{i I'$nr\ \trno\ Ndn'.rrkn, l..J rl R.tul, k,N r lilr llr. I'r .i
<br />Rrtlnn.J lrrr.' olN'i'li. xnr
<br />-l
<br />.!lif, lha 0E f.ncd Fluhlb r.ardins u!.{d Emrl c lrr rfi abL lo thn prsF
<br />Xr..nir.v rho! I haE i rlrtr-r !{r!ir I rsn'x.$.mr\ * hJrlcrvJ,kl(-"unr)
<br />JUrh{,r n'rrt\lLrtrc.,,l rh^ (ir, rn'l (i,untt r,
<br />' nt' uF,nrlr
<br />li
<br />,*/a/D
<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 Duclwork
<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 />Openinqs
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech.lo-R.ao Dlo*/bd 8r
<br />Final Test
<br />Meter Release tl rl .l /{
<br />FINAL lllll2t Y4YdMt uSaA)
<br />Notes, Remarks, Etc.I
<br />^*-y'e?
<br />t idcr'r A&tHu
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<br />I I
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