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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS oend-Buildr D.cl...rid <br />I hq.!y .flim urdn plndry of prjury th.t I m .rofl fdm lll. Conr!d6' Lic@! Llw ro. $. followini rcam Ge 70r 1.5 Bu!i!1Bt <br />&d Prcfsdoi Cod.) Aoy City d Couty ihic! llquir.t . pdmil !o co.rnllc! .lrs. imrrcE, dmolbi or .cPr,. ey lmdurq Pri6 !o ir <br />iis@c., dto llquira lh. rp?li@r fd tuch pmt lo fil. r ri8n.d.llla6I 6.l hc 6 lhc i! lic.n!.d p6ur to rhc Protti@ of lh. <br />c6r&ior! Li6!.d Ls (Oryl' 9. Coifficiry aith Scdion 7000 6f Dinlid 3 of lhc auinqt ud Prcrdid cod.) 6 tn h. or <br />rh. is .x6pr lh@tm ed lh. t .k fd U. .ll.8c{ d6F@ .Any viol.ri6 of S.cli6 7011.5 by sy rPPlifit fG . pdn 3ubj..6 lh. <br />rppli.6r to . civil Fdty or id inoE Ud fiv. h6.b.d &lhi (3500). <br />l. u os{ of lh. proD.ny, q liy mploy4 eirh w.8q ! dt.ir rol. cdFa.dd, will & th. wol ed thc drutu. h iol inl Ld <br />oofaldfdtJ.(Se.7Or4,BsiismdPEfdidCod.:ft.CoEEtd!Li@.L.w&q.ot.PPl,lo6omdofd.prcD.ny <br />wto buil& or inprov6 tha@, &d sho d6 $ch wGl hiit!.lf d hdclf 6 &ousi hit .. hd om 6Ploy..d Fovid.d lhd tuclt <br />ioForddl! & iot int idcd 6 ollcr! fq i.1.. Ii h@.G. 6c b{ildir8 d iopt o@r ir <br />'old <br />vithii oi. vca otcaPlaio.. rll. <br />oMd-Build( *ill h.v. tll. 6udo of proliig lh.l h. or 3hc .ol build o, improv. for rh. Prad. of t.ld. <br />-i, <br />6 omr of rh. prcp.ty. d .rcluiv.ly MFr.1ina wi0r lic@.d @tuM @ .oBfird rh. PEj4r ( Scc 70{4. Auits sd <br />Profdio Code Th. Co.E clry', Licdc L!* ds nor .pply ro s omcl of prcPcry 'ho btil6 d imFlvs lh.r.on , rDd eho <br />cmE&r' for such poj.ct! wiu . Coirer6(r li@nrd puRu&r io $. Conrerq.i Lic.n$ L.w.) <br />_l m d.m/ udr Scction <br />Dar.: Own6: <br />. WORKENSCOM'ENSATTONDECL^i AION <br />I hqlby aflim uidd p.nalry of pqj!'y on. of $. follwins delardoot: <br />Ih.rcudwiltru rin r Catific.lc ofcdEar to Selfi @ fo( rdkd' cmFurtidr, s Fovidcd fo bv S@ti@ l70o of dE <br />trbd Cod., f6 {t. Ffctud of {,. wr fd {hi.I lhc Fnii it i$u.4 <br />I h.v. &d will,uintrir war6' @mp6sli6 i@scq.r cquiEd by S6ri6l?00 ollh. Llbo Codc, for $. p..f@@ of $e <br />wo* fd whi.h tiit p6nir n ie.d My 10*6 cmra|.rrion itiu.&@ cttno ud Polic, nllnb.r sc <br />if th. pmil i. for Orc h6d,.d dollo {1100} * lB) <br />of d. wo* fo. which $n pa,it i! ittu.d, I lhtll no. mPloy <br />lM of Cdifmir &d {rE thr if I <br />of !h. trla cod!, I rhll, {6rhwlth <br />rhousd dolla {t l0o,0o0),in lddiri , dm.8B E provid.d fd thc Sedon 1016 of <br />inrGr &d.nohcr't f6 <br />UCTNST,D.qANIIACI9BS.DECIdAAxIA! <br />I hq.tv .tfim utu p6.lq of D6jury $.r r h [64r, 6.ir Fovino or CnPld 9 (ffi6ci <br />rrr. Burin6, Ed Prcf8id Cod., &d ny li@& ,t in tull fdg Dd cf6t <br />ng *ith Scctio 7000) of <br />pa.lty oa pdjury rblr tnd i! . cotuEvcli@ pdfolru4 of i\. wat lor whid <br />is!.d{Sq 3097.civ. C.) <br />Lsdal Addte: <br />- <br />AIPIICANT'S DECLA.R TION <br />Daolilo. P!frjt 'A!bdo. Notific{i@ I..la.l R.tuldmt (Tld. 40. !.n 6) <br />_R.quird t tt6 ofNotifiedoi <br />rcmov.l e ior.pplic.u. ro rhn Projcct <br />I .SE ro cdply qidr .ll Ci9 ed CMly <br />abov. nati6.d prop.nl for inrr..tim <br />UNOER 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 H,XPI "(ED <br />Final Gas Test <br />t:D -I CUt <br />5AMC 8-43, 2 )0, 556. SS7 <br />FINAL <br />Notes, Remarks, Etc. <br />Meter Release <br />T <br />I <br />=