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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS OMa'Buil&r Dccl.aion <br />I haty aflim udd po.lty of Fjlry dl.! I m.xd!'l fm rn. Conr&id!' Licfu bw fd Oc rolbwing @o (ra ?0rl 5 B6in6 <br />ed PDfdion Cod?): A.y City d C@ty which Gquis ! pcmir ro cd.ituc! d16, ihFltlr d.@lish or rcprir ey im.rurct priq lo il! <br />iss!&e. rbo rcqlis th. appli@r fd $c:i p.mir to fiI. . iigI.d ,l!t.not !h.t hG d ih. ir lie6.d psuut to rh. pEviiitu of th. <br />cdti!.lor! U!as.<l lry (Ct.rt r ,. Comacins ei$ sdi6 70oo of Uririon 3 of rh. Bulir6 ed Pror6i6t Cod.) c rh.l tc 6 <br />ih. is .x6Pl $drrcm sd t. bak fa lh. rllcg.d crmFid .Aiy viol*ion of Sdtion 701I J by ey .ppli6t fa ! p.mn lubjaE rtc <br />applicer lo a civil pcnalry of noi lt@ $B fiv. hun&cd doll8 (lr0o) <br />_I. a own.t ol $c prop.ny. d ry hplqyd with v{q s !h.i. sol. .omp@a!m, qill do dE worl &d rhc structuc ir no! int ..Ld <br />or ofd.d fd r.l. ( se ?04!, BNina Dd Prcfei@ C.d.: In. Co.reb'i Li..M Lw dG not .ppl, to 6 (M6 of th. proD.ny <br />who buil& or imFov6 $66, ad ,ho .toc ,uch vqt hielt d h@lf ( inB$ hi! 6 ha os ctrlPlorr6, Fovid.d 6.r s!.h <br />imprcv.Dals c.ot inrad.d d oftad f6 rd. I( hNdq, rh. buildi.g q imprcvoat is sold wirhin onc y6 6f @hdaiff, rh. <br />on.r-Builds vill h.v. th. budo ol provin! fiat h. or !h. not build or imFov. tor th. plrps. of iald <br />_1, s om6 of rh! prop.ny, e .rcluivcly dfidiD8 wirn licmi.d .or.dd! ro @3r!d $. pojccr ( 56. ?044. Bulin6d d <br />Prof*ion Codc It. Cotr.loCr Li6& l& .ld nor ryply ro m Ma of Forcrty who buildt d imprcv6 rha6n , &d who <br />@.n!.t fo sucn prcj*! wi$ s Cob!.ld(, lie.rld DllB@r io rhc cdmadt Lic6$ L.w.). <br />I m cx. mpl undd S.ction B &PC for$h rcson <br />WORKERS COMTENSATION DECT-AXATION <br />I h6.by ailm uidd parlty ofpdjury mc orrh. roll8hs dalutios <br />_l hlvc Md pill tui rin a Ccni6c{! olcdaar ro Sdfln3e tn wo*6'cmpa8rioi. a provid.d ld by S.djo 3700 of $c <br />kbd Codc, frthc pdfdfu.. of th. wdt fcvhicn $. Fnit i. isu.d. <br />_l tav. d.l will m.inuin wdt6' @oFario insllm*, s r.qliEn by Sdion 3700 oa!h. Lobd codc,fo,rhc p.rfolllue ot$. <br />eork for *hich rht FEil ir i$u.d. My wort6' cmp6!.ri6 iNutuc 6is ed policy nlhba arc <br />Ced <br />(Thk $cti6 nad ior bc Mpl.r.d il rh. pdhir k rff on. hM&cd dorrs (t I oo, 6 16) <br />_lr cdif, 'I{ in fi. Ff(roe of th! wr* fm {hich drir Fntr ir isuod I thdl nor <br />ecM. ebj@l to th. qortd ' cmp.r!.[6 he! of C.lir@ir, &d .s@ $.r ir I rhoul <br />Mp.Blrio! povisiotu of S*1id of rh. L$d cod., r shall. lathwirh 6pry <br />/6 <br />WAENING: F.iluE b .C.@ wdta' cdnp.tu.tid 6v.-8. is <br />fii6 up b d. hhdrcd $ouod dolld (t 100,000),h rd.li!i@ to <br />th. L.!or Codc, in166t rd rnodlrt f6. <br />dmas6 d provid.d fd thc S.crio 3076 of <br />LICENSf, D CONTfuICTORS DECL RATION <br />I hd.by 5ffim un&l p..dty ofpajuy 0!.l I d tienscd uda pDvisioi of ChapG 9 <br />thc Bui.d sd ProfdioG Codc, ed hy Ii6& t in ftll f(re ed c0er <br />I hacby .fim 6dd padty of Fjury th.! th@ it r 6rurcri6 ladirg <br />isd(56.3097, Civ. C.). <br />of thc wd* fq vhich $it r.mil i! <br />APPIJCANT'S DSCLAXATION <br />Dodnion PmiB-A'b.sr6 Nod,iedo rcddd Rcgllnio Girtc ao. P.n 6) <br />_ R.quircd L.n6 ofNotifiodd <br />to qmpl, wiu all ciry and Couiiy <br />olrhis Ciry ed Counry ro ola upon th..lov. holion.d pmDcny fd iBDGtid 7-8 <br />UNDER GROUND <br />Waste & Vent <br />Water-Underfloor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <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 tr,^i ,rF(E U <br />Final Gas Test <br />Meter Release r (8,| (utJ <br />SAMC 8-43 , 290, 5s6, €57 <br />FINAL <br />Notes, Remarks, Etc <br />Dd.r OM6