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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS O*nr-Buil.L, Dela.don <br />I noluy rfrinn sdd pa.lty of Fdury tut I .n cranB f.tn lh. Conndon' Lic.it. L!* fn th. folloPins rc.ton (t...703 t , Buinclt <br />sd P.ordrioi cod.)r Aoy Ciry d CNty *hiclt l.quiB r p.6n lo 6tE!.! .lt . irtProE, &holish d EpE ny ttuctE, Pd6 lo il' <br />i5ru!ne, dio Fqd6 th. .ppli@r fo &ct Fot to fiI. ! ,i8l.d lrdqMt iilI h. or th. tr li6r.d psut to lt. provirio., of th. <br />co.!.Eror'r Liq.Nd ls (oryla q cffiadns wilh s.cion 7000 of Diviri@ I of lh! Bullnqi rnd Prcf*i@. cod.) n 0'n l'. or <br />,h. k d6pl $6.fr@ Ed rh. b.rk fd O..ll.8.d cxd$jo.^Iy violddl of Setio 7o!l , by uy lpPlicst fd. Pm[ iubj..E 0'. <br />qplimr to E .ivil p.n.lry ot not nloc tlD fiw hu&!d dtll.r. (3500) <br />-I, <br />s sid of th. prcp.ty, or hy mployc6 virh *!8€ s $.n d! cohP.ro.ti6. *ill & th! wort ed th. ocru. n nol inl6.tcd <br />ir ofd! fd s.l. ( S@.?0a4, Buir{r sd Prca@iont Co&: Th. Cot.a4dt Li@t. L.* rtoq .or rpply lo & omd of lh! prcFry <br />who buil& d implDra lhElotr, ed *ho d@ tuch wo hiNclf or hlR.lf 6 Itrcush hit o hd own cmploy.4r, Provid.d tnrr luch <br />ihForcm.nt e nor inr6d.d o otf4d f6 !.1G. I( h@.vq, lho buildirg or inprovnc.r it &ld wilhin on. vca of cmplaio. th. <br />OM.FBuildE eill hre. dc burdd oflrovins lt.1 h. or 3h. nor hild ot imptot. fo. th. purP6. of !.lc) <br />_1, s ow.q of th. prop.ny, d dcluivcly co.Er.tinS with li6td @Etcl6 io c@tu.1 th. Pdj.cl ( Se 704a, Duind 6d <br />lrofdsio Codc Th. Conft.ror'e Lic6c Ls d@ rct.Ely ro lI ownd of Propctry vho build! q inprol.s $crcoi , !d who <br />cotreE for such ,rqi.ct! sn,! . Cmtacto(!) li.ard PUd@t ro $c Co.tubr'r Liein L.v.). <br />, WORI(ERS COMPENSATION DECLARATION <br />I ha.by affim uida p.mlry of pajury oD. or rhc folloeiis dcclaati@u <br />-I <br />h.r. dd *ill m.inl.in r Cfilfic{. of Co.!.n! to S.lf-l$uE for *ork B' cmPc.titi6, a PrDvided fd by Sqctio. 3700 of lh. <br />Lalo Codc, for th. pdfmoc. of thc qo.k fq which $! pcnn i! i.!u.d. <br />_l havc ud willmlntu wo'lt6' cmP.is.rioi iroum4, s rc4uiEd by s.dion 1?00 otth. Llbq cod.. for dt p.rfo''M@ of 0'c <br />*oft fd which tht pmir is iltucd My *ork4' cmpdittio iniu6c! .!ria ed Policy nuobs @: <br />?olicy Numbd,-xPic! <br />b! @oplrt d if th. pmil k fd On. hur&d dolls 11100) dl4) <br />*ork fo! which rhi! p.frir is i!!u.d,I lhall nol <br />Irw! of c.lifmi., {d ure tfid if <br />Labd Cod., I thull, fclhwith <br />pPli <br />.rimin.l p.nrlri.! md civil <br />dous (lloo,ooo),in additi d.m.8q q provid.! ar th. S.crio. 30?6 of <br />intd6t od anomq'! f.e <br />LICENSED CONTXACTORS DECLAR{TION <br />I h+by .fiim udcr po.lty of pc.j!.y $!r I @ li@i&d udd prcvilion of ChaPt< 9 70o0) <br />Prcfglionr Codc, od hy ir in 6ill fore rnd cffel' <br />Li.d. Nmhd <br />p.rjury th.r thdc n ! coisr.uclioi <br />,civ c) <br />t4tkr! ,{<t&sr <br />- <br />A.P?LICANI'S DECLARATTON <br />Dcmoli on Pmirs-Alb{rc No ficadoi rc!frI Rcsulsdons (Titl. 40, Pul 6) <br />_ R.qliEd L.tq of Notificston / <br />.bovc moiiflcd pmpfly for insp@li@ <br />Waste & Vent <br />Water-Underfloor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifler <br />TOP OUT <br />Water Piping <br />Gas Pipeing <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOL/SPA <br />P{rap/Drain Line <br />Main Drain/Pool Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Misc <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing EXPI RED <br />FCts:r z0tg <br />SAI,C 8-41 2, <br />FINAL <br />Notes, Remarks, Etc. <br />UNOER GROUND <br />Gas Service <br />Final Gas Test <br />Meter Release <br />_l h .x.hpr undd S4ti6 <br />-B <br />& P.C, for $i! Bm. <br />kndlrt Nmq <br />- <br />ffil <br />I <br />-------t----- <br />r-+- <br />It-