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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />I nterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />FINAL
<br />Notes, Remarks, Etc
<br />OWNER BUILDER T'EI-CAX IION
<br />I hGby amm ui.h. D@lry of p6iuy lhn I 6 .x.nfl fmm rlr Conlrrcrm Licoc llw lor rh. folloe,E l.en tse,70ll.5 iBurinB, r.d Pmfaion Cod.): A.y Cily or County *licn EquiB a Fmn t. onntu.q .h6, imnroq d.mlnh or EFn ey
<br />smcre, nrhr ro tu irsanc., al$ Equt* d. aDDlic6 for tuh ,.m,r h R!. , riSn d rllrcN.l $!t hc or 3h. n Ic.N.d pu@ol
<br />to th. pmviuioN of $. ConrBcld! Li.enNcd t , (Chrrr.r 9, Colm.min8 wirh S..rion 7000 of Divbion I of th. BBin s af,d
<br />Pblc$iont Cod.) or thdr h. or !h. i,.xcipt rh.Eton rrd th. bdis for rhc lllcg.d dcm ion. Any eiollrionofselio. ?011.5 by 8ny
<br />annlic.nl lor a p.mn objft$ rh. arrlica to a civil !.Mhy of mr mE rhu nv. nu.dEd dollm ($500).
<br />-1,
<br />&s owr .f rh. pdp.nn or hy cnllo)r6 eirh ql8a a rh.t $k @mr.Mrion will & 0E qqt dd
<br />'lE
<br />nnd@ h ml
<br />i.ral.kd o. ofr.Gd fo. eh (Sa.7044. BusiK rnd Pof.sioN C.dc riE Cor Eclq t Li.m* t{s &4 mt !r0ly ro tn ow of
<br />th. Fop.ny wlD hlil& or iq66 ,t6r &i wlb drB Mh *rrt hiNll or h*ltor rtmuSn hk d h.r oM.nDlore{
<br />pmvil.d rh6l sch inv,mwnkEmlisd.dmordldformL.l[tF!@,$.lliuinsoriqn\)lm.rG$Bwnhin.myla
<br />otonpk|io|\ tlE Osrr Buih6 wulh.rc tlE biinLn ofp.vilg dd n trdEdil mt hild or MpoE tn. pmpdry &r iltt'n,po* of
<br />_1, tucowrofrhclmt ny, rmqclusiv.lyconl6cti.3 with lic.ns.d .onl6ctoR to con(tucl lh. pmj.d (Se ,044. BB'n $
<br />rnd rof:$ion Cod.:'l hc Contractor's Li..nrc Law d..i nor lpplyro r. dwn.r ofp6!.dywho build. or imr.oEr lh.r.on.
<br />.nd who 6.lBdr for sch pmj..ls wilh s Conr6do(, lic.nkd ,usunr io rh. Conndo. s LiccnG Llq)
<br />I m.x.m0 udcr Sel B.&PC aorlhhramn.
<br />!g8a&[E.cgau!!rAllo!
<br />DECI.ABAIICN
<br />I hcEby lmrm und.r pmlty ofpsjury oft ofllE followin! d(ldlions
<br />I [rrc irx]qnlrrdrir.ccdrn.0rcoicon*nt roSelllrnrr n,r $orlcrs corp.nsrrnrn. !s pmrided litr hys(ii,rnr7t)0.Irh.
<br />I rhtrQxle,lirrh. nerinnnnceolrlt*ork Lr $h'chrtu nennn r Fsucd
<br />I hlE .nd will minrlif, wo*.n conllEnEtion iNErq s Equircd b, Sdrhn 3700 of rhc libor C6d., f.r th. pd{rmm. of
<br />rlt aorl for which lhtu r.mir ir is.d Mysqld otru.nerion ieE.cc cane.d Flic, mh.r e.:
<br />$l.:Jtr.,rt Caf.^'*415-.a
<br />_l ccnify $ar ilrh. I).rlor@N. of rh. wort to. which rhi. p.ron is i.scd.l stall ml .mlloy a.y p.mn in ony nlnBr
<br />$ d L b.come subjet to th. wortm' cotrp.tr*tion loss ofclliLmia, 5nd asd rblr if I slFuld 166ft sl,j.rt h lh.
<br />wod(6' ompcrelion pmvisioni of Sclion l7L{} ot th. L.hor Codq I slEU. fonhwirh omrly wnh rho4mvirioN
<br />WARNINCT l'dlur. ro sur. mlt.R'omp.nslion ov.ms. F unlawtul. !d rholl sbccr an mlolkr ro aimiMl Fmllis and
<br />cNil fin$ up io on. hundrcd rholsnd dolls (S100,000), h add nn r. rh. co$ oJ4fi-Fnet'oa d.m-!lF+. pruvid.d for lhe
<br />s€rion 1076.lrh. t-.horcod., i crc( ard a(omey s ld.
<br />,,,,", N()V I 5 20,0 ^,,,,",,,
<br />undd tmvision6tch,pr..9(ommrcin8 wnh S.dn n 7000) of Divi.i6nl
<br />of lh. BusilB ri Pmfdiorc Codq srd my lic6* ir in tull foe drd.116l
<br />lobqc%1
<br />NoV r 5 zors
<br />codllalcroNui!!.lNcJcDlcr
<br />I hrdiy amm nndcr ,!.n,lty o f pdjury rh, rh€rc k a..nerudion khdinS.s.my for th€,.rfommc ollh. sb nr qnich rhh Fmil ic
<br />is$.d (se. 109?, Civ C ).
<br />AITIICANLII}:CIAIA1IO!
<br />I hmtry af,im uhd.r Fn,lryofr..juryonc ofrh. follownr8 del.ra'ions
<br />Dcoolirion Pcrnrirs Ashcsl.s Norifi.atdn [.d.r,l R.Bullrions{'l irl.40. P.d6)
<br />RcquiEd L.rr.rotNorif cds.
<br />-l.enrly
<br />rh.t rlr ltdsnlrcgulirirns rcEnrdrnr lshenos ruflltr11ffc nor irtl'drhle n) rlnr nnr(r
<br />4ffirrn, ^*.*,
<br />rn*rprhcaron tud {xr. rhar rhc rt,,!. ,ntirorrn,tr $.or..r. I .rrcc ro smply wirh rll (iryxad ti,riry
<br />oftl'ntrn.(Mdsrar.I-r*soLridrnrburld.Eco (ructon, xl lFchy r(luize r.pr.scnrd n.s .l rhis C iiy md (itnry t) cnr$ uIx,n thc
<br />rhtr. DrLtrrk,ncJ nR,|rdt ntr n\nLclh
<br />Appll.lnr or Agent SlE.lru ,,*1,10V r 5 ZO0
<br />WUINIfrKEI
<br />II
<br />I h.rchy lilirm undcr pcn lty ol psjnry rhar Lo
<br />Lad4't Addrs:
<br />-
<br />y','..s
<br />UNDER GROUND
<br />Meter Release
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