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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O,na-Builda D.ddnidt
<br />I hd.by rfflm un.ld p.nelry of p€jwy oln I rm qmpt fdn !ll. Gnrr.16' Li4.r. h* for $c followi.t rGlld (r@ 7031., B!.in.!s
<br />sd Prcfdid Co.t ), 4., City d Co!n!, *hi.i tlquiE . Ftnir b @,rtucr. .lr.r. inPrcvq d.molltt q r.?.ir ev trucru!, prid !o iu
<br />i$ea. rle r.qliB tn. rprli{r td ,uch Fdir !o lil. r ti8r.d tdffil lhrr h! o !h. lt li@Gd P{nul lo lb. Fovhlon' of rh.
<br />Cormaor! Lic@.d bw (Ch.piq 9. Comlncltt alit scioi Tooo of Divilid ! of $. Bui.qt &d Prcrdid cod.) n $.l lo or
<br />th. i! c,anB rhdtn ed ti. bsir rc. $. .ll.s.d qdpdd .Any viol.rio or 3eti6 ?01l. t by uy lppliqnt rr . PGnn tubi..n lh.
<br />rpplicur to . civil pcn.lry ot tr(lt n@ lllIl fiv. tl8&!d dolld (l5o0l
<br />_I, s oma of lh. F!r..ty, d ny 6nplolq vith w.sd ! 6.ir @1. c.nP..,titid, wil! & th. wott $d thc ,nucnd t nor inladld
<br />t ;f@d fq .d" ( se.70,1.4, Bqind sd Prefdjd Cod.: Tl'. ConErdt t Li..e lr{ d€ .or .PPly ro u o**r of $. PllDCny
<br />who t{ildt G inplDs lhEM, sd who it .. tuch rdt hit!.lf 6 hmlf 6 dlush hh o. hd om 6plol.6, Fovi&tl th.t tu.t
<br />imFo!@olr .r! nor iDl6.t d 6 otr cd fd 1.. If, hqcv6, lllc buildii8 6 imFq.lMl it told *id'in o.G
<br />'s
<br />otcmpl.no. th.
<br />Omf-Builda pill h.vc the bulda ol provlns trt h. G th. nor baild 6 improv. for tt. puro.. of t.ld.
<br />-1,
<br />! M6 of rn. Pilpnty, 6 dclsivdy 6E ..irS with lica!.d 6E&lrr t) .@tu.l thc P6jcd ( S@ 70a4, luhd ad
<br />Prcf!'ih Cod.: ft. Coari.ld'3 Licft. Ls .t(E nor 6pply ro 3 omd of pNF.ry who buil& d imprcv6 !h.re. , {d who
<br />6El.lr fd .Eh prcj.cE *ith r cdtr .to(r) li@.d Plnar ro th. coin-ro.t Lic.@ t w.).
<br />_l dddglnddSeri@
<br />. le8ElE&CO!4qSAtroUrICIdSAroN
<br />I horl, .ffrm ud.i Fdty orFju/ .lE of lh. folldinr delrdot,
<br />_l h.v! lnll willmln..in. Cqilfic.L of Co .nl io Sdf"Ir!@ fG vodGt'.aiDctraioi,6 Flvi.Ld fa b, S.clon rr0o oflh.
<br />L.bor Cod., fd lh. FfctMe of dl. tort fo. *hid [tG pdmit k h$!d
<br />-It&ind*illnaltri!*dtd'.dtp.nrdonir.{r.c.c!r
<br />!.quld ty S.dic[l 3100 of 0l. L.bd C.d., fc ih. P..fatn,lc. ofll|.
<br />wdt fd whicl 0rl pr'tni! i3 irlud. My *!*6' cdnpsrt dod ir'rutn.. csrilt 3d Po]lc, nu,n!.r uc
<br />Policy NMbe-Erpirlt
<br />ffiffiffi;;;for On. h!Dd,.d dollzr! {3100} a16')
<br />whicn $! p.mir h tsu.4 I !h.ll rct
<br />of C.lito.ri., &d .rrE 0!.l if I
<br />6hpdid6 provili@ of S..lton 3?00 of $c LobG CodG, I thdl, ldrhri0l
<br />-o ./
<br />r/aRNING: F.il@ to selE workor @dr.nladon co68. tr '.mploy6 1o 6inin.l pc..hi€ ud civil
<br />fira !p io oG tu&!d ltou.,tl dollrE (ll oo,ooo),in .&lirio 1o dE .!.1 of cmpat$d6,
<br />th. Lrbor Co.le imaar ud .ad.y! f€
<br />dmli6 s provid.d fa $c S.c(on 3076 of
<br />UCENSID.gqNBACI9SI-DECI.AEAUO!
<br />I h*by .fl:d undd p.r.lty of pcdury t'rst I m li@n&d undd Provnioi of Ch.po e (cmh.ici S.cior 7000) of Divirioi J of
<br />th. BBi.d Md PrcfssioN Cod., dd hy licds i5 in tul l6c. Ed cffet
<br />>-r--<( -
<br />I hftby aifim udd pcn.lty ol Fjury th.l thd n . e trudro loding.tacy or ln. wqk ro, which i\i, p.frir i!
<br />t idd! Addls,
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<br />ATIIICANISDECLAEAIIots
<br />Dlnolirioi Pmil'-Albdor No{licrlion F.d6d R.rd.dd (Tid. ao, Psl O
<br />_ R.quiEd t ns orNotilic.!(h
<br />_I ccdfo $.r d. f.d6rl rcgll.rioni rcalrdin8 sbdlo!
<br />I rsra to @mply w$ .ll City ud CNty
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<br />I cctiry thar I hlvc Ed lni. lpplicrion md tut
<br />o.dinoqB ed slar. L.w! El.riis ro blildi.s of rhb Ciry sd County to 6td upo. $c
<br />abov. nciad.d prct rt, for iitp.clid
<br />2
<br />Waste & Vent
<br />Water-U nderfloor
<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 />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test EXPIRE D
<br />Meter Release
<br />F.-rl - | U Ul:,
<br />FINAL S;:,1 lc &.43, zgc, t isa AA7
<br />Notes, Remarks, Etc.
<br />UNDER GROUND
<br />Gas-Underfloor
<br />Water Service
<br />isGd (Sa. 309r, Civ C.).
<br />lad6! Nhc
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