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PLUMBING.INSPECTOR RECORD
<br />ID/SIG.COMMENTS
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipin
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipin o
<br />Filt ne/Back Flow
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn S rinkler
<br />Sanitary Sewer/Ca p
<br />Back Flow Device
<br />Final Gas Test
<br />Meter Release
<br />, 556, 667
<br />FINAL
<br />Notes, Remarks, Etc.
<br />Om6-Buitdq Del{ido
<br />I hcrcby !fllm ur&r pa.lry ofprjury $.r lmamfl fm $. Cof!.toB, Lieni. Law for lhc fotlowingrc.5o. G.c r0!l t Bcin.s
<br />ud Pbfcalion cod.): tuy City o AMr, *nict EgliE r pdhir ro @ ruc! .tEr. imprcv., ddolnh tr Ep.ir My sEucru,!, pnn !o ir,
<br />i!t@@, rlio rlqdB d,. lmli{i 16 $ch pdnir to lilc r rig.d slaramr $ar hc or shc is li@scd puRuur ro $. prcvisioa orfi.
<br />Conr.dof 3 Li@cd Llw (Chlpl( I, Comadn8 wii Sedon TOOO of Diviii@ ! of rh. Bulir6 and p.ofqsimi Cod4 d thd h. m
<br />5hc i5 qcmfl $ftfM &.1 thc bsh fd th. 3ll.r.d qdprion Any violdion of S.dion Toj l j by dy appliqr td i p.mir !ubj@(, fi.
<br />lppli@r to ! .i!il Fndiy of.o. n@ rl'e 6v. hundrcd &116 (tsoo)
<br />_1. 6 oMq oa $. Fopcfir! d hy dployB wi6 wqg6 s th.n sol. @opaBarioi, vitl do lhc wortr md lh. srlcturc k rcr int nd.dd ofiald f6 !.lc ( sa.?oaa, BEirs od Prcf*id C6&r Ih. Cd.r..rd'r Lic6& Lrw &6 .ot .pply ro 6 oMcr of l,E propsry
<br />who buildt 6 imFo!6 thcr@, Bd wto do.. suct *o* hiGclf d hetf q rt'@sl his a hcr oq dptoy6. Foeid.d $a ,uchinprovomlt e nor itrt rd.d 6 orBcd fd !rlc. Il, hNcvd, rh. buildina or improvocnr i. sold wnhin on; yd; of codpt.tio, incOMB-Build.r,ill ltav. 6. burdo ol PIoviiS rh{ h! d rhc nol build d idFov. for rhe purlGc ot !.1.)
<br />_1, .t ouE of lhc prcpaty, o qclGircly onEt6j.g f,i$ lic.nr.d .mtur@ to .osruci th. ,mj.d ( S.c 7044, Alrin6i ddProfqlion Codc: Th. Conr..rdt Li6sc Le d6 nor .!ply to e ownd of prcpary sho builds s i;D.ov6 rh.@n , dd who.o E r ror su.h FojcE eidt. cdEr.ro(,li@.d plll:Wr ro 0E C@ft.ro,', U6s. t w.).
<br />_l M lx@F uda S6doo ,B & t C for 6is Botr
<br />WORKERS COMPENSATION DECL.{RATION
<br />I hr.by .flim udd p65lty or pqju.y @. of 6. folldin8 dalmriml
<br />_I havc sd will m.int.in i Carific.r. of Consar !o Sctf,tNuE for wo,km' @np.nsatio, B provi{j.d fd by S.dioi rTOO of rhr
<br />L.bo. Codc, fd di. pdfdfue oa th. wo{ fd whici t? p6rn t ilio.d
<br />_l lBr. ed vill henr.in wdt6' MFnsrtio i$utuc., s r.quircd by S@do, l?oo of lhc rjbor Codc. for 6. pcrfo,ruc. of rh.
<br />wo.t for $hich thir p6mn k i$u!d. My wort6 cohpc.sarion iisu@m @id and poticy numb.r d.
<br />Policy N@b.i_Expic:
<br />(This ied@ n6d nor b. @plaGd ialh. Fhn i! t6 Orc lNnd..d dollu ltrool 616,
<br />p6fomac. ofth. worL ad whicn fik
<br />o laws of Califmir, sd isrc rhar if
<br />kbd Codc. I shdl. fonhwnh
<br />*o*m' c6p@.ri6 @vr.gr i
<br />dol16 (3100,000),in.ddition lo th a provid.d tdrhcS.clion 10?6 of
<br />IICENSED (ONTR,\CTORS Df
<br />'I ^RATIONI hftby rfim uds pcn.lry of pqjury
<br />th. BBineed Prcfai@r Cod., ed licos. is in anll fdcc Md c{Idr
<br />of pqjury d de is !;;5Euctid I c. oflhc wort torwhich l|lh p€mn it
<br />097, Civ C)
<br />A}ILICA'IT'S DECLANATION
<br />Omolition P@il}Alb6lB Norif oid F.dc.d RcSll.ddr Gnt. aO, pfi 6)
<br />_ R.quir.d tJnr or Notilic.rioi
<br />-1^*n*
<br />I !8c ro Mply wnn .ll City and CouilyordineB &d Srr. !.wr r.l&rr !o bui
<br />.bov. lMrid.d prcFny fa
<br />APPROVALS DATE
<br />UNDER GROUND
<br />lnterceptor/ Clarifier
<br />Rough Water Heater
<br />Pool Heater/Gas Line
<br />Rough Plumbing
<br />FEU- I
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