Fillable Mechanical Inspection Record Fillable (City of Semmes)

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Mechanical Inspection Record Fillable (City of Semmes)

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CITY OF SEMMES
MECHANICAL INSPECTION RECORD
PERMIT NO.: ____________________________
DATE: __________________________
ADDRESS: ___________________________________________________________________________________________________________
MECH. CONTRACTOR:________________________
/INSTALLATION:____________________
COMMERCIAL,__________________
RESIDENTIAL
LICENSE # ___________________________________
NO. OF SYSTEMS AND SIZES: __________________________________________________________________________________________________________
NEW CONSTRUCTION
CHANGE OUT
ADD-ON
DUCT EXTENSIONS
REPAIRS TO SYSTEM
MOBILE HOME
WHEN READY AND BUILDING OPEN FOR INSPECTION, CALL FOR INSPECTION OR NOTE CARD.
ROUGH-IN ______________________________
FINAL ___________________________
DUCT ONLY_______________________________
FEE: ____________________________________
PROPERTY OWNER: ___________________________________________________________
_____________________________________________________
CONTRACTOR
REMARKS:
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
CITY OF SEMMES
MECHANICAL INSPECTION RECORD
PERMIT NO.: ____________________________
DATE: __________________________
ADDRESS: ___________________________________________________________________________________________________________
MECH. CONTRACTOR:________________________
/INSTALLATION:____________________
COMMERCIAL,__________________
RESIDENTIAL
LICENSE # ___________________________________
NO. OF SYSTEMS AND SIZES: __________________________________________________________________________________________________________
NEW CONSTRUCTION
CHANGE OUT
ADD-ON
DUCT EXTENSIONS
REPAIRS TO SYSTEM
MOBILE HOME
WHEN READY AND BUILDING OPEN FOR INSPECTION, CALL FOR INSPECTION OR NOTE CARD.
ROUGH-IN ______________________________
FINAL ___________________________
DUCT ONLY_______________________________
FEE: ____________________________________
PROPERTY OWNER: ___________________________________________________________
_____________________________________________________
CONTRACTOR
REMARKS:
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
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Mechanical Inspection Record Fillable (City of Semmes)

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Completed 18 January 2021

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