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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <br />Water-Underfloor <br />Gas-Underfloor <br />^Building Sewer <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Piping <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P{raplDrain Line / <br />Main Drain/Pool Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Misc <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 />Meter Release <br />FINAL 7--%-le P1rfit) <br />Notes, Remarks, Etc. <br />O*G.Build.r D.ddtoa <br />I hd.by tfiim !..L. p.6lt, ofllaury th.r I e d.npr forh rh. Conlnd6 LirM L.e for fi. f6l,oyir8 lq$n (s 701L5 &!i.e!6 <br />.!d Pretusion Co&): A!, Cn, or Couty wni.h !qui6 . ,@n lo osrrud. !h6. ioprcv.. dcmlhh o. aplh &r ttiEluc. prbr lo iri <br />i3ru.e, rb. Equir6 rlE .ppli.&r for lEh F@ir ro fi|. r 3iloGd rurdcd rb.r lE or $. i lieMd p@@r ro rh. povitiod olrhc <br />Co.lr.cto, 3 Lic.N.d Lle (ChrF.. 9. Cono.eins wnh S.dion ?0OO of Divilion I ofrh. Buind. .nd Pof6.ioN Co&) or rhlt h. or <br />,h.iiddpl{d.nonllnrlrn.blbforlt.[.9.dcr@ption,A.yviotlrioaofsctioo7031,5b,lnyrpplicdrfor.p@irsubj.dirh. <br />rprli@r ro i cit rl p.ulr, of lor horc rh& 6v. hundd dolls (1500).t'rr:1.u owEofth.poFny. hy @Dlots uirh,.86s thchrclC coor.a io& wiil do dE wort ddtlE3Eucr@ ir mt im.ndld <br />or of.rcd for sh ( Se.?(x,t Buitr6t .rd P,of.*!irB Cod. Tn Co'nndn r Li@@ L.* do6 mr iprly lo .n .Ie of rh. pftpdry <br />wto bdldr or inFoB rtmq ai wno .b6 iuh woit hi@lf or h@lfd lhroud tit or h.r om @plot6. psvidld lh.t tuch <br />iEphv@.dt e nol id..d.d o. otrqql for sL, ll howcG, lh. hrildiq d ioprcvo.d it $[t wilhin oa y@ ot co6pl.rion. rn <br />OwG-Boildd will h.v. llE bordcn ofprevinS $.t t or 3h. 6r build or i6por for tlE purpo* of$L). <br />_1. 6 ownd oftt prep.ny. rm cr.lsivcly coilrldilg wnn liccGcd coorrlcroG to oalfud th. prcj<t ( Sd. 7044. B{.in6s ed <br />Proa.$ion Cod. Th. conr.dor'r Li@me b* do6 @t .pply to rn o,nd of propcny *ho blilds or inrrov6 $d@n . .nd qho <br />.onr.$ ror such poj*t! wnh i Conlido(d lic.n*d puBunl lo rh. Contasole Lic.ni. Lrw ) <br />_l ,tr .xcnpt undo S.crion .B &PC. <br />(-,"ale lZott ltT*"* <br />laBxlBs_(or4rEls^1loN-uEeuaaro! <br />I h.r.hy alfim !.dn pc.ahy orpcrjun on. o,rh. aollosinsd.claratioB <br />I hw. Dd sill alinni. . C.ri,icd. ofcoNll ro S.lf'lsur. for E k6 @np.nstioG B provd.d lo, by Sanon ,700 of $. <br />lrbor Codc. for rhc D.rfom.r. ol rhc wo* for whi.h tlE Dmit i. bru.d. <br />I h.v. lnd w:ll tui lin worloa @op.Btio" ltsunncc, s r.qun.d by Strron 1700 ol lh. l,bor Cod., lor th. p.rfomunc. oflh. <br />wort aor which $r5 p.riil ir it5ued My s ss .omFnrrion in!!tuc. ffiid lnd poli.y nutbs !r.: <br />(Il'k*dionoc.d nor b. conpl.rcd iflh.p.mir is aor on. hund..d doll.6 lSI00) or l.$) <br />[X (cntay Oar in $. pdomocc orrh€ so.k aor whict rhn !.mir is issu.d. I stull nor.mploy lny n.rson in any m.nncr so s ro <br />be!m. sutjccl ro lhe mrk.6 @ml'€nenon lawsofCallloinr!,lnd.Brerh..al should b..onre NbEd ro rh. worlas <br />co mpcnsl ion provi! h ns ofSetion 1700offi. Lrbor Cod.. I shrll, toahsithlzor\ <br />WARNING F 'lur. ro *cur. workqs' cof,p€Elr'on cov.oa. is unl.wrul. lnd sh.ll subjd an .ophycr to .ri6inal pcn.lri6 lnd clvil <br />in6uplo on hundr.d ttNusaffl dollaE (5100.000).in sddilion ro lh. cosl ofcomp.lelion. daruscs 6 proyidcd for Ih. Sction 10?6 of <br />rhc liborCode, '.r.16r indrnorNy s fB <br />UEEIIES.EONIB^CIIBS..uECIA <br />I h(.b, rflim unda p.mx, ofpojlr, rh,t I d ltds.d undn pDrision oaChlnro 9 (codocncins rvirh S-rion 7l]O0)oaDivision I oa <br />thc Busindssnd Profcssions Cod., dnd my licc6. is in full forcc oDd .llet. <br />cq!!]aucua!-l!!.p!!.G3 <br />I hftby 6ftim undq Fmlly ot p.rjuy lh,l lhm is . .oNlrudion kf,diq aa.rcy aor lh. p.rfom.nc. oaih. work for shth $G p.mn is <br />i$u.d (S.. 3097. Civ. C ) <br />artucaxrs.lIclaaauqN <br />D.noltion P@n$A!b.sro! Nodfiodon r.d.nl R.8lhtioa (Tirlc 40. Prn 6) <br />_ RG{uiGd tlld oaNotifiqtion <br />I ..nify th.r rh. tcddl rcSul.riotu r.sadi.g at€tos rmval e. nor rppliclbL ro this pmjccr. <br />t rr4 <br />\-[ lc.nily rh,r I hs. rcrd rhi! .pplicar rcn Md srd hit th. ibov. into@tio! i5 conc<1. I rgB ro conply *th all Cily rnd Counry <br />o.din.nc6 and Sht. L.ws rclrrins to buidin8 coBlrucrion, Dd h.r.hy dulhoriz. r.pr6..taliv.s oa lhG Cny rnd Coumy ro .mcr npon rhc <br />!bov.6..tioa.d prop.ny hr iBp..lion puQos6, <br />Nh 7LA <br />vlyttf <br />M:\WP51\Permil-lnsp€clion F <br />Waste & Vent <br />Area/Storm Drain <br />Roof Drarn <br />Licc@Clas: t,iccBc Nunbr <br />lhlc <br />Lfiddi Add,.!s <br />tl <br />f------T------ <br />f------T------ <br />I <br />-------T------