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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.GOMMENTS o*n6-BuikLr Dc.h..rio! <br />I h6c!y .mm ud.i D.ndty of p.rjury thr I m .rdpt fm lh. CorE .r.r!' Li4dc L.w fd thc louowins .atdr (t&.?01 I J Buii6r <br />&d Prcf{im Cod.) Any City o.Cdnty ?hiclt Eqoi6. p6 ir!o co.ttllcq dt.. inlprcec, d. ou.t 6EPnldytEu.tui. Fd L itt <br />is8a, ol.o r.q!i6 dE rpDli6.r lor r{cn p.6ir lo fi1. . dF.d lllraMt lh.lh.6 !h. ir li4.d PtllluI lo lt. Fotlrion, otth. <br />Contr aor'r Uc4cd Lry (O[pl!' 9. Cdins*ln8 ,th Setm 7000 of Divirio ] of in. Buitdt ud PrcfaioN Cod.) d 0!.1 h. o. <br />rhc i' d.nlPl lh@n6 ed th. bsir fd $. .ll.r.d q6Fi@ .any eiol.ri6 of S@ti6 7031 5 by ry rP?licmr fd I pdnir tubj.crt $. <br />.ppli.rr 1o . civil p6dty of no. lle 0!e liw turtld doll&r (S5oo). <br />_1, s omq of thc Aiop.fiy, d my oploy.q wirh w.36 s lh.ir !ol. compccarim, will do thc *dl 6d rh. t@cruo h nol i.ra&d <br />tr otrd.d fd ial. ( Se 7044. BNin€ sd Pref6lion! Code Th. C@L@ldt Li@.r. Llw tios nor .ppl, lo u omcr of th. prcPqr, <br />*ho build, d imFovB thqlu, &d *ho do€ ilch *o* hitr.lf d hdclf o. ftlu8h hii d hd ai 6ploy6, Fovi&d ${ ach <br />imprc96.nl! e not iordd.d n ofl@d for !.1.. tf, how.G, rn brildirt d inprcvool it told *irhin o.. y@ ol cmpl.iio.. $. <br />o*id-Buildcr will h.v. thc blrdd of proving ltal nd d !n. not btitd o. in rov. for thr purp6. of $1.). <br />-I. <br />u ow.r of ln. propcny,6 dclEiv€ly c6lrdi.8 wnn licd.d 6r&lt! io.@rocr ln. Prcj.cl ( 54 704a, Bulnq ud <br />Profcioi cod.r h. Contrr.re', Uc.m. trp tt6o nol 4,ply lo e omd of p.opdry who b!il& a imEov* !ha@. , Md who <br />confr.t for 3uch pojer *ith . Con&ro(!) lic.n'.d pEu&r ro ln! co(..ror'i Lic..E bw.) <br />_l e crcmp udrSston <br />loBrD8slq.[eENlAITQ!.plCLAlAngd <br />I hftby .flim undo paalty ot pBjury o. or fi! followiis d.cl&ltiont: <br />-l <br />h.v. ed will h.lnt.in sC.nifiqt ofcdot lo Sellln3urc forPdk6 cmPoEn'c'r, {i provid.d 16 by Setion l70O ol$q <br />L.bor Cod., ror th. p..fm@ of ln. *oi< for *hich th. dhir is ilruql <br />_t luv. e.t will dinrin work4' .omp.i!.lio i@tecq a Gqutcd by S€tioi 3700 of th. L.bd Cod., for U. p.tfomu@ of lt. <br />w@t fd which lln p6hit ir isu.d My wdtcl3' c@Paulion i !mc. c8E ud Policy iffib.. ac: <br />b. cmpldcd if tl. Dmit ir fo. On. hu]did dolle {3100) d l4) <br />paforme ot tc *ork ld *hi.h l]hi! pdit n i$u.4 I lldl <br />h*! of C.lirmi.. ed .sE $.r ir I <br />lt. Llbd Cod.,l ilull, fonlvilh <br />&116 (3100,000),in ddr.86 s provid.d fd th. <br />inl64r &d rnmq , a.€ <br />t hdcby .film 6dci p.n.hy of p4jury <br />t'. Baind! md Poaa.ioo! Cod..licos. i5 in tullfde dd.ilcct <br />udd pa.lq ofpaju.y rh.r Lt@ n .Frfomsc. of thc wtrt for eti.h thk P.nt it <br />3097, Ctv. C.). <br />AIIUCASXS.DECLA&IIXIE <br />D.molirim P6is-Art6t ! Notlfi.rhm r.dE l R.rul.ti CIi{c 40, P.n q <br />_ R.q{n!d Lr&r ofNotifi.aiat <br />to c6ply witt.ll Cty ud <br />lbow @rid.d prcpcny for idp6ri@ <br />i <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 />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />Ptrap/Drain Line <br />Main Drain/Pool Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Et Fr r rlr <br />Rough Plumbing S-'J <br />Final Gas Test FFR=I ,nm <br />AMU ar-<lJ. :a{tr ,, 556, 667 <br />FINAL <br />Notes, Remarks, Etc. <br />Misc <br />Gas Service <br />Meter Release <br />(Thi! <br />t-d.r'r Nw'- <br />Lodst Adds' <br />- <br />= <br />If--