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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulalion <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Ranqe <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. <br />Final Test <br />Meter Release /1 <br />FINAL L'Al n <br />OTVTEf, BUILDTS DEI{ARATIO <br />I h6rby .frra uldd ,a.1, of pdju.y ttr I E q@t tu6 rtE Colu&ld ti.!& Le 6r th. fouoeta tw6 (sd.mll.5 <br />&!iE -d PE&{id Co&): <br />^Iy <br />Cir, d coury aiil t qui6 . Fui ro @do4 t!q, irylE, dtDli6 or q'i -y <br />lirucru.. Fbr lo i! Brud.. tlo EquiE fi. <br />'pplicel <br />ft'r e.l' Fbn lo 6L r lirn d nrffir 6, lE orJr* i. licd.d ldnan <br />ro rlE Foriir,6 of r Cdr.ld. rid..d t w (Cb.F6 9. Co@cir! *n} Sarb! 7000 of Drsi,! I of lt. &tii.. ed <br />Prcftlrbd Co&) d Ur.t h. G dE i qot rhEdilB.rd 6.lri' tu ft ilb.d a.a$i@ Aly vbhiotr of S.dbn 70!1.5 by Dy <br />rppli{r Ib.. Frn utjer! l! rpplidr ro t.ivilFrhyofor Dclhe liv. h!d.d&U$(1500) <br />_1. u of,E ofih! FFry. or oy cmplorls wnt f,q6 s rh.b $L 6np@dlon wiI & tlE wrt nd [E ditnw i rDt <br />i'rartd 6 ofq.d fo, .lG (Sc704.a. BlailB ad PrD&..i,B Cod.: Th. Co*-rd . t!@ rry iba d +9ly 10 - o*E of <br />ltE FoFry who t{illl n inF!6 I,EEG .n D d6 rh Ml ti&alf or tq*lf d l,FrC fiir s na ou dPb}{.i <br />Fovid.d tha iGh inqoGia., ft ml atad.d d orlicd turb l[ ho\r!E. d! hei.r or iqtsqEr b.]d witfh ffi rc <br />ofqplcbn dE otrG &db *r[ l'.81t h!&ofFov4dr h.orrt .lid ml hiLl or irWN ltc FFV 6.lt Flpo*ol <br />l, s M ofrh. FlFry, D a.hliE cotrn iIg vnl Ica..d @'r.-rc lo @tEnd llE F!}.l (56. 7044. Bair <br />.!d PD6rlio Co&: TIc Coir.cro. r Li.@ Lrw do6 nor lDrly ro d om6 olpropdiy who t!il& or ihDrcE tnoa( <br />ud who 6lftd3tor$.hFj.rrwih. Coflndd(t) lic@cdFaur brh.Codrrqi Litr t&). <br />-l <br />16 .r6F u!ld6 s61 <br />!a85E8S:CaUII!SATIO! <br />[&cLaEArlo! <br />I h6Ety .,fim 6dd pGux, olFjury oa offi. lollosins dek r'oN: <br />, h.E rn will tuifl.h. C-rifsrc of Coen ro Sdf-lrG for *qld @BFEriolL a FlviLd for trSctioo lru of th. <br />trbor Codc ror $. FfoEEa. of thc mrl ld rtkh r'. Ftn b its.d <br />i5.E .!d will mid&! wo*6 @nF!.rio. iMc., G r.quind by serio! l?00 of lh. Ltor Co&. ror dE Ffolllftc or <br />Ur srt for *n r thn FEh ir ie.d My wrd @rlpdrion illtljrre Eitr od poli.y ndb6 r.::{Za.v*4-€,zr- ftot=Cv , "tn*o-,U,3?l'<o (A <br />-l <br />cairy Ur ir ilE Ffolrtlls of $. srt for *hih lni! Fnh b ier!& I tlull el .ryb, ry Fitr i! ey oM <br />- d ro b@frc rubjc.r to rh. s*d'odpa3rion Lw of C.lifomir ad.gE lhr if I .lruld b..orc.ltitl <br />'o <br />tb <br />m 6' oipdirbi FoeinioB ofsali)n l70o oirlE t to. Codc I $.lL fo'ttuhn dEpt vih ftoc Fovhb6.. <br />WARNINC: F.ilu. to se s.ka' @mp@dion 6vs.8. ir ultwtul rd !h.I.ubrd ! @plorq to cioi!.IF.li.3d <br />.ivil fc rp ro oc blRtld lhosr.ld &llrt (1100,04). h .ddhb!ol.oEF!.lioa. dlDe€ a Fo!'d.d for rlE <br />s..rnn' ror. !llrr lrh,iira.t sd dtoiEyt 16. <br />2r <br />I holby.II' und. Flhy of FjEy thi I e ltq!.d @& Fovilioo of Ctrrs 9 (collllEiia *it s.db8 7000) of Dni&o l <br />of !. BciE -d ?r!E!i,B Codc rd ny ltae a ii tul ror rld clE6. <br />L..n\c \ nnr <br />-7o 4(-( <br />t hd.by alfm ud6 pauxy otFjlry th.l $q. s . @inrudbtr lE ditrs rrny for dE Fforlffi. of llt wt br shi.n thit FDir b <br />isu.d (Se. .1097. Caf, C.). <br />[!da ! Nro!: <br />- <br />AITIJGAII.DICIdEAIIOE <br />! HyGD6& F.t, of Fiw, oE of tt blbwi'8 d.cLri8 <br />D.lblirior Pann+A.h6ror Noriidbn F.dan &arlrio! O,ll. 40, Pst6) <br />-x.q!i!d <br />t.al6 of Ndificrb <br />-l <br />cdit tllr 0E f.dsd Esd.rioG l!3r! B at i6 liolal e,or qpliobL lo lh! F!j.tl- <br />-l <br />cdriry $d I lE!. ,ad fii! lrclkdbi .d 111L th.l dE rhoE hlonncion t cdcr. I .tc lo coopl, witn .I Ci, &d Couly <br />odill46 rd Srrc L.*r Elritl3 to hlitlin8 <br />.trv. Mti.ncd pmpqry fo. i <br />Appltrn d A8@r S,B,iE:tL-€ <br />Cry a|d Crud, to atr 'eo. rb <br />,/tr,/z_l-----7- <br />WillZrEgIlltEYt- <br />.".-"*& <br />I <br />I <br />I <br />I <br />I <br />I <br />I I <br />Notes, Remarks, Etc.I <br />---t--