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PLUMBING.INSPECTOR REGORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />Waste & Vent
<br />Water-Underfloor
<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 />Pool Heater/Gas Line
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Frral6
<br />Rough Plumbing E'\F If\
<br />mIFinal Gas Test FF I
<br />Meter Release
<br />r, 9po, oo/
<br />FINAL
<br />Notes, Remarks, Etc
<br />OPnd-Build.. D.d['dd
<br />I hcby.fli qda pcnrlt, of pdjuy tur I lm dapi fm tic Cortir.ro6' Lic4! trw fd $. followinS ra$n (G 7011.5 Bai.6
<br />Dd lrcadi@ Cod.)r Any Ciry 6 Coeq ?hicl! EquiE r ,.rnir 10 @!n!.! .lra, im!tov., &moltn or t?.ir dy .!tclu,.. ptid !o il,
<br />i$us@, dro 'lqutd th. ,ppli@r fd $ch pcmir !o il. . ,iar.d tt lnot d.t h! th. t li.@.d P@61 lo lh. povitid of th.
<br />C@E .1or! Ucd.d trq (Ch.p€r 9. Comcnd.g wilh S.dion 7O0O of Uvilion I of d& Bu!i.d! sd Ptof.$i@! Codr) * lb.t h. or
<br />!h. ir cxdpt t}@rim ud rh. blt f6 $. rll.r.d dcmptio .Any violrd.i of S.dioi ?03 l. t by u/ .prliqu fd ! pmn tubj..! lh.
<br />.Iplicer to r civil po.lty of nd n@ rh$ fiv. tundrtn doll.r! (t500).
<br />I, B oM{ of0!! p.q.ny, o.my anployd ti$ w.aa B !h.ir rclq co(nFEtlioi, *illd. $. wqt sd dE trudw! i, nol i.tad.d
<br />d ofid.d fd r.l. ( Se,tuat, Bsin6 ad Prcf4rq! Cod.: Th. Cdi&l6t Lic.M tn dG nd rPPl, to a omd of lh. Fotdry
<br />who buil& o irDrovc. th! orr,ed*hodo6taheorthi .lfd hatdtd thtDuih hii d hd om oplor6, Fovid.d lt.t tuch
<br />iDprov66r, e nor inr6&d d ofi.r.d fd !.1. lf, ho{!w, tn buili,,n8 o. inP6ffi6t i! .old widit oic yd or c.dd.t6' U.
<br />Om.FBuil.tr will h.v. th6 tardo ot prcvi.8 $il hc d rt. .ol build d ifrPrcv. for $. Pu.p6. of td.)
<br />_1,soMsof$.F.?cfiy,eaclqivcl,@nh.rina*ittlic.d@rr*todlo@ttruclln.Prcjal(S&.,0a4,Bolndtd
<br />Prcfc.ion c.de Th. C6E&1or! U.@o L.w d@ nor .pply to e om6 of prcp.ny who build! 6 ihFova th.rM , Dd who
<br />c6nEo fd tuct prcjel! *irn . coiEdo(d licorcd puEuht !. te conF&ror'! Li.4. rlw ).
<br />_l e cx.mE u.d6 Sario.
<br />WORIGRS COMTENSATION DECL^NATION
<br />I h*!y rffd udd p@.liy of pajory on. of $c follain8 d!.lEli@
<br />-l
<br />h.vc ed wiu mintlin . C.flifid. of CoMr b Sclf-l$ur. for wdt f'' cmF.ttri@, a P.ovi.Ld fd by S..rio. l70O of lt.
<br />Lalor Codc, lor $. p.rfo|rMcc of th. wtrt fo whi.n Uc Fmn k inu.d.
<br />_I h!v. ud will mdi!!. wo*en cffip.nrrion i utucqs..q!iEdbyS?ctionl?00of6cLlbdCoa!,fo!thcPlrfotuc.ofth.
<br />tort f{ which Ui! p@jr i! ilsucd My Pdk4' compa!.ti6 iNur.n.c caii6 3d Polhy numbq 4.:
<br />x-;;;ffiffi;for On. hu&!d dolld lll00) d16)
<br />whicn tht pffi it itsu.d,l lhdl nor
<br />of Cdlifhir, &d .8xe rh.l il I
<br />.mp6t.rid p.ovisio! of Sado 3?00 of lh. bhd Cod., I thcll, fdth*irh c@Ply
<br />-)4-o
<br />WARNING: F.ilw 10 l! d wortE!' ffir.norio .oval8. i!
<br />fi.6 up io oic n6<b.d 6out'd &lle (tl00,000).i. a.ttiirid
<br />rhc Lrbq Cod., inr€6r dd .ro6.y'r fd.
<br />LICENSf, D CONTRACTORS DECLARATION
<br />I t@!y rmm 6&r padty of Fj!.y lh.r I E lic.nrd 6di prcsrim ol Cn!9ti 9 (
<br />tnc Buiio ed Prcrei@ Cod.. Dd my li@e i! in NI f*c l,d cf.ct
<br />*nh s
<br />z-24
<br />I tmly .fiift @&i pa.lty ol pdjlry thll th@ i! t olth.wo,k ror which lnit p.aii ir
<br />isld (Sc. !09r, Civ. c.)
<br />ATII,ICANISPEC!48AIIIII
<br />Drmolitio Pcrnn!-Arbdto! Notification 8cd.r.l Rcrul.tion (Tirc 40, Ptn 6)
<br />_ &qut d L.llo ofNotificolio
<br />to .6ply wi6 .ll City md Couty
<br />of $k Ciry ed Counry ro ..l( upon thc
<br />-o
<br />I
<br />I
<br />UNDER GROUND
<br />Fill Line/Back Flow
<br />Misc
<br />Back Flow Device
<br />lolicy Nub.i ErPir.!:
<br />ladqt Add!3.'
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