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MECHANICAL.INSPECTOR RECORO
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER IUIIJ)ES DELCARATION
<br />I td6r.ftm u& Frlt, olFjuy rhr I D ddpr tN tL Codr.clotr lj.dr lr* lor thc fouodars ltet (Sa.?011.5
<br />&sino !i PrDtu ib Cod.): ,{., Ciy 6 Cqlry *llth .!q!iE . FDi lo odru.t .rd. iqov.. &Dli6 or EFi my
<br />$ucu.. Fb. lo nt islmc .bo Eq!i6 tlE eplkrnl for Mt Fb lo fik.3'gncd xiffil ltd lE or tlc it licq!.d ,l@!i
<br />Io rlE FoviiiE of ln Cofi*rdi lkruql t * (ct$a 9. (orltaEh8 wilt Selih ?000 of Divitbt ! of6. DGi6 &rl
<br />PrcfgioN co&) o, rhd rE or !b. s q6pt r,'a6o6.nd ttc bGit ror th..lL8.d ddFnn. Aiy rbLtir orsetid t0! 1., by &y
<br />eltlx for. Fhir sl,Elt th. Sliqd ro r civil FrIy olDl mc$d nv. [u.i.d <hlhr (t500).
<br />-1.
<br />6 @G ofth. FoFn o Ey copLrG wilt wr8.. E rh.t bL @EF!rb!. will do ih. *orl rld dE clnE i. ml
<br />ir.d.d ddH &. rl. {sd.7oL. tlliE.rd PFltt iEcodc rt cdlnda!ltuEt3&€mtpllomorGof
<br />rh. FlFry *lb bn(ld i!4mElhsts! -dwh. do-utwrt lihtdtorlE lfor Oeugj ih d lE M @pbre
<br />Fltit d rh.r rlrl EFltgl6 c ,bl aroild d otu 6r da l( ho6r. ln. tlildnll d in+.!EEn k -Lt eilhh otu )d
<br />oforpldi,6. d.Oi+c A,itlr ei[ lrGrE hr{ar ofFEir lt. n diE(H Dl h!]d d iqw d. FlPnry &t l[.,urcof
<br />-1.
<br />lo\ffi ottlE FFry. @ad6ivdy @nrEi.s *i,r liq!.d colitdd ro 6''tlt!rt t!. Foi! lsE ?044. E-b<
<br />d Pto&a!Cod.: tt Conturd r Lk.!4 Lrr <b6 er 9ly ro 6ooG of Fopql, wlD t{il.tt or in96€ th6o..
<br />dd wto otrr*l! h. D<t Foicir *it . cod.lldlr) ltad Frsd b ft Conr.car rj.6. te).
<br />-l
<br />eqagr @.t r Serbtr .8.&Pc.6rfti!d,.
<br />llof,alE!:c0Mtlllara!
<br />DtctdSarlod
<br />I I'albr .rm ud.. F.xy orFjury oe 01lh. 6uowi,! dBhrdoB:
<br />-l
<br />ll.E .rl *iU uill.in . CqiifEd. olcldqn to sdf-tEn 5r wtd srFldi,r . Nid.d for b, sa&E 1700 otrtc
<br />L.Dq cod., tu tlE FfaDn! of UE rqt tu *tLt rt FDn I ilrl.d
<br />.f,f U". .'a *ltt *i*.io **d ooFlnDn itsffc. s r.qoiEd t, SElbr !7OO orllE L.tor cod.. bi 0. Ffotus. of
<br />rh. dt li. rnEl rti Fln ir i'.rl M, edro @G9@riD iql,E. nir d Fliy .lrits Eerte4tl
<br />_l c€liry $, b rbc Fbtlttte olrlE m* h. sni6 lhn ,.ft it iEr.il I lt.[ ol .qbt D, Fin i. e, 6-E
<br />- B ro h@r $bjer to tt s*6 oap@rdion Lu ofc.litomia !d TBrh, if !.lDdd bdlr olicl lo i.
<br />6rt6 .urFr.ion Fovi6 ofs.triD 3?00 of dE lll . Codq I tltll &nh* o4ry wit ,bc Fviit6..
<br />llannrl G rdw to se wtd on+drim orsre. b uLetuL d rhdl rbt.l & atplotq ro oilirl Flltt r,.l
<br />civil ii6 u, 1o oG h'Erh.d rto'ld .tllr. (llm.@o). h .ddiih lo 0E cod ol @trpar.ioi. dcg6 ! F\r<l.d for ll.
<br />s.\r' r rrr, !lrl'.1.'lr' ( lLle ic,N rlr[,rr.\ 'M2p4o^O rLh<t--
<br />lc!!6l&lo!tr8Agoa!!c!aBA:rlo!
<br />t lEra'y.fftuu!& pa.tyofD6ir,ttr I e Ld'!da Fviihorclr d 9 (6ffii4 eilt scrb! 7000) of Divitir l
<br />of lh. Buil6 .td Prefnb6 Co<b, ,xl B, lt@ i. b tull 6r.n.r6r.
<br />(qIEIAUqIIaUjI!ITE.AG!!CT
<br />I hd!t,.lIm !.dE p@nyof Fjurylnd ltd ir. co !r <rbi latdii8 t84y tu tb. F6ffic of ltE w* b, dtth lhb FBI i
<br />is,.d(se looT,civ.c )
<br />AISLICAdIDECTdIAUO!
<br />I hcdyrfl',r!,t(b p@.ly ofFiury oEolln folbsEg.lal-rb6,
<br />Ddmlntun PannlAibdro! Norific hn F.dad R.gllllaoB (f nE 40, Pln6)
<br />-R.qu,rd
<br />Lalc of Nodrdbtr
<br />-I
<br />.d'ry rnt r,E ftdq.l qohiB qtdiis 6ta6 ,g6rd ,. |Er +dt bL b lhi Fi.d
<br />14"-,, * , * * ,* slkrFn rn rr. lhr $c .hov. bforindi,n ir .orEr I +r ro .orrly wirh dl cny ..d counry
<br />${lr;6 !d srlrc Lr{ Erq lo bild,ls 6tu@ td ha*y rrh.ri.e EFBGori6 of it Cn, rn coElry lo qn6 $oo tt
<br />.h.tE ddrio..d mMv tu( irdid mtt:nrn-",n*,.n-*{5fuh I nrulh^rz.-'*, &lfsl} |
<br />Pnndm,Fnn) k)\,tll1 wtattlwgz_ _
<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 Deteclors lnstalled
<br />Rough Ductwork
<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 Hard Lid
<br />Above T-Bar
<br />Rough Mech.
<br />Final Test
<br />Meter Release
<br />FINAL </q/z J.*1h
<br />Notes, Remarks, Etc
<br />3
<br />ttiom trut(ttfl"hu
<br />Vents
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