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APPROVALS DATE ID/SIG.COMMENTS OII'NEi'UIII'EI DE!' R TION
<br />, na!b, rfts u.ds F , of Fiuy rhr I ft ddF &6 rlE Cdt clm Li.a& Ls 6r dt 6[ost ,an (56.m]1.,
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<br />ro dE FEbc of 0. Cotu*rd t L6id L.s (o'.Fa 9. cot@iE *iti Sdb. ?AO of oivirio! I of lt B.i6 od
<br />Pr!&.i,E Co&) r Or l' d !r. it d.dF Ih.ltob Dd tlE L! 61 th. d,.r.d a@Fioi. Any vbhioo of Selb. ?01l.t W &y
<br />q?lt.nt tu. pdnt &bjd! d!. .!plic&r ro. oril p@h, of ml @Elhn 6!. hr(H &lh. (1500).
<br />-t.
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<br />tn6d.d dotu ft..t(S< 70a4. BBiB -d fto&-iE Co& Tt Co Eld'tLi@l&doqd+gl,brolGof
<br />ih. FoFry wbo hiLl or iryo6 lb6oo. &d qho d6 en \o.t hirelfo. h@ltor rhrush nt d b os 64hy6,
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<br />&d *,lD 6nr..rt fo, &cb Foj<llr sth ! Co.dxlo(, licdr.d Fdur ro tlE Codndn ' Li(!E try).
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<br />I h6.,1" .lltm utrJq ranilr) olprJUD on.oith.ldl,$,nt ddl,trrtnN
<br />-l
<br />t E id *ill din n. Cctifi..l. of Co'Er lo SdI-l.e ft.6t6 d{d!.ai.n . FoviL.t bt bt S...in !700 of rn.
<br />LlDa coda 6. $. F6.le. of tt. Et 6. eti.t llE Fun a -!.d
<br />16r- ,ta .itt ort .io *r- .!a@.li{ nrlEq ! E$i.d b, scrir l?OO of lt L.!or Co<L, &tr lh Ffora@ of
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<br />(7*t/ FrrrtD
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<br />.srit Ihd nl ilE Ffo|1,!.G otth. Nilt tu( vht! rli! FDir ir irs.(! I ihll bl onploy oy Fen ir sy IlI,e
<br />D oro b<!r sbjer lo r,E *!*a'onFErbn Lf,i of Cdifodi.. dd irE dlr ill lbuld t4oD rnitr lo lh.
<br />s @ @q.din FDyiriE of Scrir lr0o of rb Lrbos Cod.. Lrll bnhwnh 6ryly rilh llG FovhioB.
<br />$!iEi d .qbF lo ai.id Frrit tn
<br />6hp.urior. .ln a6 ! Drcvid.d fnr rtcivil fis up ro E hrdEd thod-d &U& (11m.000). i! .ddnbn io
<br />s.dn,n 1076 of th. lrEx ( od.. inrdd.rd.rd6-.'t fq
<br />IJCIIIE lOlr8AcrgallcllllAlqtr
<br />t halby.nri ulda Frlty orFjury thd I &t li.a..d u!d!r Fvinn of ct F6 9 (oo',!dits wit! s..ti, ?000) of Diviioo I
<br />of rlE B'!i6 &d PrehbB C.dG. rn oy lE@ i b u toc .n .IB.t
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<br />,-" af-llt-'l{ .",,-.,"'166'Jr1r.f,e!J 6rr.rJtLe
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<br />I icln,.fio undd F.t, oI Firy lta ltr! ir. @'nndb! ri.Inf *dy 6. it Fforrs oill* *ut 6. *tth ttit FEi i'
<br />i!&.d {s6. 1097. civ. c. ).
<br />AIIIJCAII.IISIdEAXIO!
<br />I hs*v rft6 @& Ddrty of Dqiqy oi. ot 0E fouosi!8 &.l|rni6:
<br />D6blih! ,mnearbro Norirrfb. F.(b.l RqlIiE (rib aO. Pn6)
<br />-L$iEd
<br />1116of tlodf.rir
<br />-l
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<br />-lGlit
<br />rhd lh.r.rqdrhBimltr,ldi o r.'.rhdr .boE infonnipn n corcr I reE
<br />'o
<br />onply *nt rll Cny .!d Couai,
<br />odill.,E ed S'r. l,$: r.hi'B ro h,ilding ha6y lllDda rqadri€ of Ui. Ci, ed Couiy ro d6 l4on dE
<br />.1h1. nor6i.d F.tErt litr
<br /> ml'lx n' /\&a S,!tunn.
<br />,'(h,ftn.uDc,litr ) 7g@f, o 6ar1xt+.tJ o
<br />o* df-l\t-l'\
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulatron
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<br />Toilet Room / Clothes Dryer
<br />Residential Ranqe
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<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 -/'1
<br />Meter Release .a Ay',
<br />FINAL
<br />ilNotes, Remarks, E{c.ltl
<br />MECHANICAL.INSPECTOR RECORD
<br />on"' o f- I i- (1
<br />^eet-*, -
<br />ladn I Ad.is'
<br />-
<br />Furnace
<br />Vents
<br />Grease Duct
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