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PLUMBING{NSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS OEcFB!il.16 D.clnd@
<br />I h..cby !fliinurdo pdrlry olpdiury lt.l I u.ron fdm $. ConFr.lon' Lic.N. Lrw for th. follqins l!a@ (3@.?01I 5 Buiiiat
<br />ed PEfcasjon Cod.): An, Ciry 6 Cmry ,hict FqriB . pqdr ro cotlnLq .lld, imFov!, (i.tulnh d EP.ir ev tE!.ll'.c Fi6 !o i!
<br />lmde, .1rc EqrlB Oc rpplicit ror .!.n pmt lo fi|. t tis!.d i.rdn nt th.r h. or thc it li.c.&<l PueDi !o l)). Prcvi.iom ol $.
<br />crnE .ror't Li.a!.d Ls (clr.pla I, Co|lllM.lit with SEd@ ?ooo of Divi.id , of $G BaitB ud Prcf6ti6r c.d.) q dt.t h. d
<br />ih. t ddl $ftft.m sd d!. bsit f6 th. dl.rcd .xdplid .Ary ,iol.1lo of S&ti6n 7031 , by uy lpplicDr for . p.f,iit luDj.dt th.
<br />.pplicxr 1o . civil F lty of no( ttm $u fiE hu.trtd &rl.t (lr0o).
<br />-1.
<br />., Ma of rt'. Fo!.ny, 6ny anploy.4 with wq.! $ th.ir rol. cmpondio, vill & th. vol ed lh. ttir.tw i' mt iit nd.d
<br />or off.Gd f6 !rl. ( Se ?oaa, Bqln.lt sd Prct4i@ Co&: Tt. Co.tt .1s'. Li.4. Lrv ds nor .p9ry to 6 omr of lh. PEF t,
<br />who b!it& 6 inp.ovc fiawr 6d who &d !u.h wdt htrsclf or hcnclf d d6!8t hh 6 ta oM mPlov6, Protdld $.1 luch
<br />inprcmalr e rd inrad.d d offeld fd r.l!. tl, how?va, lh. brild]n! or imprcvoal it told wthin dG y@ of c6pldio', tt.
<br />OwturBuildc, will hrv. thc b{dd or prcvin8 {r.r n. or 3h. nor build o imFrov. fd $. Puad. of t.h)
<br />-I,
<br />s o6.rof 6c p.o?cny, e.xdBiv.ly @turins virh li6t.d 6rth t! @tu r rh. Pojc.r ( S@ 70aa, Bqin* ed
<br />Prof.,.ion C.dc Tfu C6tr&td's Ucalc t dB not rpply ro M oMd ofp.opdty who buildt o. i!hpro!6 $.rco . ed eho
<br />6ruu for sch prcjelt pid r cdhtro(, licd.d P6qt to th. Contudt Licce L.e ).
<br />_l m q6pr 6dd Seri ,B. & !.C fd ihi! Bo
<br />WORKERS COMIENSATION DECLAR TTON
<br />I hrby lfiirnundd parlly ofpdjlry oc ofo'c foll inS d..latidu
<br />t h.w &.1witlmirrin ! C.nitior. of Con@r lo Sdf-I,Il@ fd Pdt4'.mF!i1i6, a FDvidGd fd by Scdiot !7oo oaulc
<br />Labor Codc, fn th! Frrotlmc. of rn. *o* fd which lhc pmit it isu.d.
<br />_lharsd*ill m.i.dn qrk6' cmF.!.li@ is!s@. ! r.quiEd by S..rion 3700 ofd. Lsbd Cod., for dr. P.rfom&@ of$c
<br />work fn whi.n lnir pdir n is!.d My vo*6' chFuatiofl ie c. cui6 xdpolisy huhb.r d.
<br />Policy NurtB' ErPnt
<br />.,(",-,..,,"G-.-ii...
<br />ior b. c6lpl.Ld if ih. pfrn k for On. hutu &ll@ lll00) crl*)
<br />0!. pafmu*ott.so f whicl $k ps! iiti$u.4I$tll
<br />ltl. qdld ' .mp.n!:t@ le! of C.tifmi!, ud llxe ttx it I
<br />c@pa..no prcvirionr of s.crl6 !70o ofoE bld cod., I !h6ll. farleiu
<br />'L4-o
<br />WA.PNING Saihrc ro t.cuE wmlcn' @hr.n..rion .ov68.
<br />line up ro q. hdtlld thort&d &lla (ll00,000),in .dditi6 lo lhG
<br />lhc Lrb6 Cod., inG.n ad lnmcy'r fd.
<br />t!.h.tc! s p6vid.d fr Oc S.cd@ 1076 of
<br />I h@by amm udd p66liy of pdjlry tnx I e li@i&d un.Lr pbvkioi
<br />lhc Buina! ,rd Plol6ioo! Cod., Md m, lic-t. it in tuU fdc. ,rd .f.cl
<br />-14 - oI
<br />I h*b, .ffifr @<Lr padt, of Fjury thrl th* h r .din.ti6
<br />i.ncd (S.!. 309?, civ. C.).
<br />oa ltlc wdt ld whict dri! Fhn t
<br />A8!IJCA!!i!!C!BASA!
<br />DcrDlidoil PcmiE-Albotc. Nodnc{ql F.dnrl P!.tuhdd (Tirl. .0, P.n 6)
<br />_ R.qdrd Lctrs olNor,6cni@
<br />_l cdiry ln thc fcdcnl rcSulalro.r !.8rding sb€td &hoval ac
<br />ry sd couity to dtd upon t.
<br />abov. Earioncd prcp..ty fd irrp..rion puDs6
<br />-7-t /- 6
<br />I
<br />UNOER GROUND
<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{rap/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 />f Fvr rt Er tr r"i I
<br />Rough Plumbing T
<br />Final Gas Test r;l : I 2t]I9
<br />Meter Release
<br />FINAL
<br />Notes, Remarks, Etc
<br />Waste & Vent
<br />Tub/Shower Test
<br />D{.: O*a..
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<br />ffi
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