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APPROVALS DATE ID/SIG.COMMENTS OwrF-Build.r D..leErion <br />I h.r.by !,nm unds padly oaFju.y thsl I dmE fm rh. Col.&ld' Li6E L!* fd tnc followrn8 160 (se 70, L5 Burin6r <br />&d Pbfsion Co<L): Ary Ciry d Couly which GldG ! p.nnit to cdiitucq ,lra, improt, &molish or rcp6ir &y 3rtudui., pno ro is <br />i$uec., d5o r.quie 0!. .pplior fo iu.It p@n to il. ! siaD.d s!!r@at rh, h. or rh. it li@s.d puf uur lo $. pmvirios oa th. <br />conE&tdt Licd.d Llq (Chrprd 9, comddis wili sc.rion 7000 of Dljsioi I ot th. Baii63 dd Profeid3 cod.) d $.t Ic or <br />rhc is cx.mF thdcfrcm ud ltc bai! fd $. .ll.e.d .xcmptio Any violsrio of S.clio. 701I J by d, alpli@r fd i p.mil iubj4B $. <br />lpplimr ro a civil Fslry of rd hon 1he fivc hun&rd .lolla (1500) <br />_l, 6 o*no ot rh. Fop.n . d ny frploya with vaB6 6 th.t solc @p.ns{ion, sill do inc vork &d tnc alrucr@ is not in!.n&d <br />or off.rcd aor rolc ( 3*.7044, BGi.66 e.t PDfaioM Cod. Thc Conrtudk Li6t. I:{ .tc nor .p?ly ro $ om6 of lhc prcp.,ry <br />vho b!il& a improv6 $mn, &d who &a s!.h wat nid.lf q h6da a tn@8n hir q hd own .mproy6, Fovid.d thrr !!ch <br />inprovmoLe {. not inr6d&l or otlftd for ialc l( how.vd, th. building or ihprovdot is sold wnhin onc yd of cmpl.tim, th. <br />OMd-Buildd will har. rhc burdd of povinB thar h. d rh. nor build or imFov. for lh. purpd. ol s.lc) <br />_1, G oM- of 6? prcFty. o.xd€ircly @r[:dir8 silnlissd c6t &la ro c@rtucl rhc poJer ( Scc 704.1. B6ird and <br />Porssio Cod.: Th. Conl.!(rq'5 Lictu. rrw de ior lpply ro & oms of prop.ny who b!il& o inprorB lnc@n . od sho <br />.dr&u for ich p6jcu {irh t conE&ld(, lic4cd p{rqr 10 tn. conlrdd'r Li@e Llw ) <br />_l m cr.mpr udd Scclioh B &PC ld lnis rao. <br />lqBrE8stglaErsars!_DE <br />I hr.by !{im udcr Fnalty of rdjury d. of lh. fouwins deldions <br />_lhavcedwillmi.in.Cadfc{.otcdGtbS.lflis!.!fd*dt6'cdrP@!!tid,ap.ovidcdfdbyS6rio3700of c <br />trlo Cod., for $. pdlorue of th. eo.l fnvhich lhc pahn h itfu.d. <br />_l havr dd will m.in6in w6t6' .omF s.tio i.ruEe, a Equir.d by Sa on 3700 of lh. Labor cod.. ao, thr pcrfoMc. or lhc <br />ro fq which rhis pahir t iru.d My edt. c.mF tri@ iEuDcc @ia &d policy numb.r -. <br />lolicy N@b.. AxpiB: <br />tlhByaq ren <br />z6i-..8*r m <br />nor b. conplcr.d irlhc FFir ii for OnG hadrcd.l6,la {llo0l a ls) <br />$c pdfmae of ihc pd* fd which lht psmn is i$u.4 I shall <br />lh. edtd ' .omp.irsio h* of c.lif6io, ed osE tn.t if I <br />oflnc Libn Cod..l sh.ll. fdhvidr <br />WARNING: Failurc ro ldw wdt6' @mFririo @v.69. <br />fin6 up lo s. hun.l,.d $Nsd d.lls (ll Oo,ooo),in .ddjti6 to <br />thc t r Cod., i.rn6r -d drdcyt fa. <br />d.Dae6 a prcvi&d fd lllc Serio !076 of <br />LTCENSED CONTR,{CTORS Df, CLARATION <br />I h@by .mm un&l padty of Fju.y thc I m lac4.d udd p.ovilim ot C-t!.ptd e ( <br />th. Bsi.6 xd PrcfdiN Cod., ad my lic4c i! ii full fde ed.fier <br />I Itd.)y .fim ud.. p6'.1t, of Fjuy &n lbc n . ddudio la.tin8 .s6cy fa <br />isu.d (S@. 309r, Civ. C ). <br />pafmac. ol $c *ort for vhich rhis p.mn is <br />APPLICANTIS DECLAIIATION <br />Dcmolitioi ?miE-tubdl6 Notific{i@ F.ddl Rc8lddu (Tid. 40. Pln 6) <br />_ R.quircd Llna of Notficlrim <br />rhs Cit, &d County to 6!!r uron <br />abov. malion.d prcF.ty fd i.rF.rim <br />I <br />-b <br />UNOER GROUND <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifler <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipeing <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P-trap/Drain 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 EA F'rt(tsu <br />Meter Release <br />rED I (UIJ <br />FINAL SAMC 8.4 ,,290,558.167 <br />PLUMBING.INSPECTOR RECORD <br />Waste & Vent <br />Water-Underfloor <br />Notes, Remarks, Etc. <br />L61ds! Ad&B, _ <br />I <br />------T_----