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PLUMBING{NSPECTOR RECORD
<br />APPROVALS DATE Of,.6-Build.t D..l&.do
<br />I h..!by rmm undd p6dry of p6jwy $.t I u .r6nfl fcm lh. coffi&r6' UcdG Llw fo lt. aollo*ln8 rc...n be.rol I 5 BurDctt
<br />6d Pmfdion Cod.): Any Ciy tr Cdnry 'iich l.qliE . pqrnn !o @.iu.r, .116. inp..v., dqnolnh d EP.ir a, ttu.a,r!, Fi6 io io
<br />i'ru&c., de r.qdB dE.ppli.ur fdeci Fmir b fil.. riircd 3t tdMt lh.r h. d.t.It li.sud pM@t to d!. Pdiri@ of d!.
<br />Confidd! Lic.,rr.d te (ch.Pl.r 9, Cffic.dis eilh Serid 7000 of Divitim , of rh. BuinB sd kofqtioi! cotb) or $n he d
<br />3h. n qo/ $@116 Dd rh. tsi. fd ll. .ll.'c<l qdplj@ .Any viol.r,q or Sation 703 L5 by &y rlpli*r 16 . Fmx $bj!.{ th.
<br />rt'pli6r ro r.ivil F .lt of nd morllh& frr h6&!d.lolle (1500)
<br />I, s oqd of 6. p.op€t , q ny dplors *irh e.84 s dci. tol. @oF!r.Ii6. rill .b lh. e(t od 6. tr.!.ie i, nd inh&d
<br />or off€ld for nl. ( 54.?044, Bqiid. od Prcfai@ Co.L: Tho C.rn..tor't Li@c t ? &s nor.p?ly to h qmd ofih. FlPCny
<br />who buil& or imFoB lhclM, xd wlD do.t ruch vort hiruelf ot hctrlf c. ,roush ht d ha oen cmploycs, Fovid.d $d tuch
<br />iEFD16.ltt e iot irt6d.d 6 otrcrtd fd ..!G. It hw.ltt, lhc bdldiri or inprc16di it told -irhin onc yo of canplaiol fi.
<br />oha'Buil<Lr pill h.vc lh. hurd.a of Fonns $rr n. ot 3hc nor blild d i6Fov. for d. pwF. of d.)
<br />-t,
<br />o os.r of d. rrcraty, u.i.luiv.ly cdE*tin! rilhltd.d @EtbE to cffict rh. Prcjct ( scc ,04a, BEin@ ad
<br />PrcfBlio Cod. Ttc Cofltr.tor! Lic6& Lrw dod iot ip?ly b & oM.r ot FDpGny *ho blildt or iDrrovd dlcrcM , !n.l *ho
<br />cor!.l' fo, rEh Froj..n wilh . cdtrelo(, ticc .d ?!Bur ro th. Contub/r Licd. Lt*.)
<br />_l d .i.frpt 6d.r Seti6
<br />-8.
<br />& P.C, lor thi! ra6.
<br />. !4Q8E8&CA!&!!$[!!U.D[CIAMIION
<br />I h@by .fhB uda p..dry of pojuy on. of {t. follaint daleli@:
<br />_I hrv. ,nd rill mht in r Ccnific.t. of Colual lo Sollln.llt. for edk B' c pqu&o, N Fond.d fd by S..tion l70O ot$.
<br />rlbd Cod., fd d!. pqfolN@ of t\e eo* for *hicn thc Pmn i! iscd.
<br />_l nav. ed will h.inl.in wat6' compqB.rio iBu@@, q r.qui.d b, Sctiot ! 700 of thr L.!d Co&, td th. pdfonuc. ol lh.
<br />wolr fd *hich fik Fmit ir iru.d M/ *0*63 c@p..t.don ituua@ @i6 ud Policy nuhbcr e
<br />Policy Nmb6:-ExpiE3:
<br />nr,i,21614
<br />1{ "or;ty
<br />rt,I in
<br />Dort .mplacdi(oEpmni!faOrGn!.&.ddoll.n {3100} a16,
<br />t bq Cod., I !h.ll, fGlhwilh
<br />' cmpcrr.rio. covdg. it
<br />douh (3100,000),ii rddjtim .!sn.!.s B provid.d ar th! sccdon 3076 of
<br />I h@h, .fiim 6ds pddly of pdj!.y L\r
<br />i.a& i! in tull fdcc ed.ffer
<br />ude p.nalq of p..jury dl{ thsc i! r contEuctio c. oa d. wo.k fo, which Uit p.mir i!
<br />109?, Civ C)
<br />ATPLICANT'S DECLARATION
<br />D.nolti6 F@ill-&bdior Norificario. F.d.r.l R.sql.i@ (Til!! 40. P'l 6)
<br />_ Rcq!i..d Ldd ofNo ficldm
<br />_I ccniry $!l c f.<Lr.l Esulrtio.r Esrdi!,! abdld
<br />I.ste lo cdDly wid rll City
<br />obov. modoncd prcp.ny for inrr@rio
<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 />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 />rr IPIRFN
<br />Rough Plumbing
<br />FEE = I 2019
<br />Meter Release SAMC AJ
<br />ao7
<br />Notes, Remarks, Etc.
<br />tD/stG.COMMENTS
<br />Tub/Shower Test
<br />Final Gas Test
<br />FINAL
<br />tl
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