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APPROVALS DATE rD/srG.COMMENTS o\! N[R AUt LDtiR Dt:LCAtt^ I tON
<br />I hr.h) alirm uodr rEmhy of tsjury rhd I d crdfl ii('n' rlr Cont!.toB t,ic.n,. l,$ lor rh. lollosin8 r.astr rS(.?01.5
<br />Busin6s and Prof&rion ('odc): Any ( ny or (ounr, \hkh r.qui6 i lrGnil lo conslrucl. fl116. nnro\c, donolrh ur rlP6r,u)
<br />sttuclur.. rior to its isuffi., a!!o ,.qun6 lne dpplic l for such Fflnit lo fil€ n sisncd nalgn€nl rh{ ll. or sh. is li.€scd puBul.nr
<br />ro rlR lrovigbB of ft. (.niclois l.ic.trs.d l-as ((-h6pro 9. (-omm.nqin* \rirh Sdion ?c$0 oI Dn ision I otlh. BGinNrdd
<br />,1ot6n,Baod.lor thol h.orslt isc\.mpt llrgcftom and r h. is3n lor !h. allcsc{.rdllprion An, rnntrionofsftttn 7011.5 by.rnt
<br />dppli.anir,pnnnsubjRrsrh.applicmrloacivilp.nrhyoftror.ro!.thMfi\.htrndrcddoll s(i500).
<br />-1.
<br />s on n6 of rh. IE)tErr. or nry.mplor6 s irh $ar6 s rh.n $1. .o,rp€Nt i.n, sill do rhc \rork dlh.nr*1d.i. nur
<br />inrdr:tcd or ofi6.d for slc ( S( 7044. 8uia6 0nd PmfsioB ( od.: I hc ('ont,cttri l-ic.e L.re Jo6 Nt rrply lo M o$ffi of
<br />rh. pNlEr, *ho fdldr or inprov6 tlEon. aDd whD .L6 s.h Nntt hinB.lf or hd*lf or rtuou8h his or hd os n . ph!c6.
<br />poriddl rhar such iilNrcctu o. nor inr6rd.d nr ofrd.d lor $k ll h\16 d, rlE |{iLli.g or irltrrN (l G$ldwithinun.!w
<br />otconpldion. rlE (\rs ltrrlrn s'll ha\! rh. hrdd or pln inr rhn h. or rh. dil to{ tuilal or nl{m\ c fic pmpslt for th. ErFs of
<br />-1.
<br />B oq6 of th. Fopdry, @ .xcldiv.ly.ontrdi.g wi$ lirss.d .ont!.lou lo cotdncl tlE Foj.d (s6 7044, Bcine
<br />6rd hDftsir Cod.r Ih.(ontn€loa! LicB.l,* &6 nor spplylo.n o*ns of propqry who buil& or impmr€rhc@n.
<br />snd who mnrEcls lor$ch pmj6t! Eirh 6 Conrklo(3) licss.d puMr ro rh. t onr.dor'r Li.c. trw),
<br />GZo".,lZ lzr \zozo
<br />DECIAIAIIA!
<br />I ndcby .rm m.ld p6rl, of pajnry o,. ofln. follo$'in8 d..ld.lioN
<br />Ihr\cddN'llhxi'ns r('drll.dcoi(irs.nrr,Scllrlnsu'.li!N.'lc'i,nrn.srt.D.6p'.!trbnfitrhtSdrit{r700oirh.
<br />Ln&n Codr. nn rhr pohnnim. riilf unl ntr sh'rh rhL lrrnnr s ssud
<br />-l
<br />h.y. rnd will a!im!i, wo*.6 .onp.Mrio. iBu.!m.. B rqutd by Sdlion 1?00 of lh. libor C{dc, for d& Flor@c. ol
<br />tu $qk aor which thi! Fmit n is.d My wdk6 onp.E ion iEutuc c&nd &d Flicy oombo e.
<br />-t
<br />crri8 rh.t inrh. Flotuc of lh. worl lor whicl rhir Frnn b iqual.l shrll mr @plor.ny pssr i, hy mc
<br />$ B !o b..oD. ruqal b rh. mrt6' .onp6nion &$'s of Crliaomi.. dd asrE lhd il I ilhuld b6oft sutiel to llE
<br />sutEr' .ohFsrion povbiotu of Scclion 1700 of th. L.tror Cork I sh6ll, lonhwnh omply with 0EF pmvi!i.B..
<br />l,tARNlNO tailurc ro surc ert6 onpdtsnhn cov@E. n u.hstul. md shrll subjd e arplold lo dif,intl Frhi.s md
<br />civil lio6 up ro onc hud.cd tttu$d dolld (1100,00{l). in a&nion ro rhc coe ot conp.Blrion. d@!6 s lrovid.d for lh.
<br />Sdion .1076 ofrhc lnhor Code inrod.nd tnomrr'! 16.t ,?
<br />ucEds[DrgtrIaaciaB
<br />lrrctdEallo!
<br />I h(by lftim lndd psDlry oap-jory rfid Idn liccnsdu.ddprolis,o.ofch. ( 9 l coond.i.s *nh sdtion 7000) of Division l
<br />of rh. Businddd Prnr6ioN cori., $d orlico* ir in full forc n.ficl
<br />cl)xsrBl1(Ill)rl,aDttlil{J;lrl
<br />I hftcb}al]jrno 6 Fn.hr ofpertuD lhalrhse 's!constnl(lnn lddi',Sd!6.] f r[.lqfoflnnNcoflhcrvorl [r\h(hrhirFrfrir i!
<br />hsu.disd l0tr7. (n (')
<br />lffl.tcaNlllil1.dlAll0!
<br />I tfl{'y !trm unds poahy orp.riuL- on. otlhc n,lk,$u! ddlfuarnns
<br />&nnnirbn t6n s'AstEI$NorincarionFdi-,| R+uldidnsiIirlc{0. I'dn6|
<br />Requn d Ldrc olNorlnmrnn
<br />-l
<br />cdrify lhar I harc r@d rhls appl
<br />ordi.Md dd St . l5B r.hti.r lo
<br />icalion &d srarr rhnl rn ahv. i.folmlnrn i!coFdl.I i!r(N..r,li\ \'lhrll( [\ xtrrl(,u \
<br />r!a,,1{ln\ ( ,r\ Il ( ,trnrr\ 1!,.x( trFr,1h.
<br />,,.,," tzlzr lzozo
<br />!bov. m@tio!.d pEpqry &r
<br />Apdkel or AE6l SiE..lw:I
<br />r*l-*" rp.,r, l. r,a)-rtr
<br />T2
<br />Appliances
<br />lvletal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Ivlisc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled /
<br />Rough Ductwork t'trz(DU///il 5466
<br />Vents
<br />Toilet Room / Clothes Dryer /'.4'd{pu/l.,r{6yf
<br />Residential Ranqe lkrl Dfu,M {a&
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />Openings
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech. .$
<br />Final Test
<br />Meter Release /
<br />FINAL un/d(bh/A .516"
<br />Notes, Remarks, Etc.
<br />MECHANICAL-INSPECTOR RECORD
<br />,.,..rzlztlzao
<br />-l
<br />cdi& $!l th. lcdqdl .*!l ioB rcg&din8 ab6ior roeval a. f,ot ipplkrbl. lo lhis prcjccl
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