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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.Oma-Auil.ld D..laatim
<br />I h@!y.ffim ur&rp6al9 ofpdjur th l M *6Pl fm $.C@E&Lrr'Li@r. Lrw f6 tt.lollNitrs Bon G4.r03L5 Bulin6r
<br />dnd trcfelior Co&): ADy Cit d Couty which rcquiB . p.mn l! @nltucq dtd, inproy., dqrioliih or .lpsir lly ttuctuF, prid io i!
<br />its@c., also rquic lh. appli@r fd 3och pcnir to filc I ds.d surdot $.! h. or st k li@rcd pus@r to $. pNirions ori8
<br />C@F&lq'' Li@5.d llw (CltlFd 9, Cotun.,lcins *ith Sdtion ,000 of Divirio 3 of tt. BEin6 &d Prcfdio3 Cod.) d dr.r h. or
<br />ihc i5 qoF d@frm ed lh. bai. f6 lh. dlc8.<l cxanptiotr Aly viol&i6 ofslcdo 7031.5 by my.ppli6r fa. pdmn rubjcd5 thc
<br />appli@l 1o ! ciyil pa.lt, of not ia@ ln8 fiw h@&!d dollE (Sr0o)
<br />_1, a oMd of thc Fopcny, d m, @ploycd will| s!3s a rh.ir lolc @hp.n!atim, will & th. wot &d $c tEu.lorc it tol inlfi&d
<br />or ofr6.d fd 3d6 ( Se 7044, Buiia s.l PrcfosiG Cod.: Ttc Crntractort Lictuc L.w do6 not .pply io s MF ol $. ,ropcny
<br />who buil& or ihFova lid@r!, od wio d6 sch ?o* nim.lf d h6.lf 6 rhrcugh htu q hs om .,ploy6. Fovid.rt 0!!r such
<br />i,nprcv@nB !r. f,ol ilr.nd.rl6 ofilr.d fu lalc l( howed, fi. buildiis d idprov@r ir eld wilhin oc yq of c@plai6, th.
<br />omd-Built!6 *ill hiw rb. bud.o of poins rhar h. o. ihc .ot boild 6 imrrdc for th. purpc. of srl4
<br />_1, a owa6 oldc prop.ny, d cxclurivcly @nE ains wi$ liq5ld @r&r@ ro c@llruc| dc prcj*r ( S* ?044. Bqind d!.of6!io Cod.r Th. CoL..td'r LiclrB. k* d@ f,or apply to s oMd of prcp?riy *ho builds o imFov6 th.mn , ed who
<br />cdb&1, ld such prcjrct vir! . C@ruo(!) li@lcd pm@r ro rhc conn&6rs Liffi Lsw )
<br />_I d dmpt s(h setim 3. & P.C. fd tni. @@
<br />WORI<ERS COMTTNSATTON DECT.AAATION
<br />I h*by aftm qnd.. pollty of pojury @c of $. folloeins d.cld!d@s:
<br />_lltavca.lvillmi.i..Cadficiaofcd@rroS.lflEWfsworL6'cm!.!r1i6,Bprovid.df6byS*ri61700ofg!
<br />Lalor Cod!, ftr otc pafc.tnee of $. wdt for whid thc p6nit i! iaucd
<br />_l h.v. dd vill ruinl,lin qolld i @op.Eatior iNumq.i s Equncd by S.cdon 3700 of rh. Labd codc, for rhc Fdomu@ of rh.
<br />wort lor which $t phn is isuld. My wottFt c@p.$.rio. iis|mc. @i6 od policy iumb.r e.
<br />Policy Nubq _ErpiG
<br />(Thh s.aion na.d not bG c6pl.t d if dc pqmn is for O.. h6dr.d .loll@ {$ ! o0l q
<br />t{.** * n r *. ***c. or d. wdk ror
<br />M.mc subj.d ro Uc "0*6 @,,pd,r{d6 law
<br />ehict thi6 p.mn is isu.d,l
<br />.ompdltion prorisim ol Setio lr00 of th. kld Codc, I shall,
<br />)-2.t- o I
<br />WAnNING !dlu. ro iau. *0116' @p.oralion
<br />iina up !o on. hm<lrtd thoMd doll6 (5100,000),ir .dditio to
<br />lhc L.bd Codq in@rar sd sn@?y'! f€,
<br />on, damascs 6 p.ovid.d fd
<br />I hftby affim undd p6dty ofpdjury U{ I m lictucd undB ptuvisid ofchapr€r 9
<br />thc BBha ed PrctBis Cod.. ed my li@. ir in tull ta@ ud .fl61
<br />4-
<br />I h.rct, .fim udc. padty ol pqj'ry lhlt lh6! b . .on fi.ti
<br />isu.d (S.c 3097, Ci!. C.).
<br />ro cmply *ith 3ll Ciry Dd Coury
<br />of lhir Ciry ad C@ry ro 6ld uDor thc
<br />rbov. Miioncd prcpcny fd irsF.ri6
<br />)-/./-
<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 />P{raplDrain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />M isc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test E}(rtl '!Eqt
<br />Meter Release
<br />rETT U I t Ltr,
<br />FINAL gAl6es-$,2 ;0, a|l6, 0c7
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />Dlk O
<br />APPIJCANT'S Df, CI,AITATION
<br />D.mlirion Pmi6,rr.b6ror Nod6.!i rd...l Rc8d.d@ (rid. 40. Pdr 6)
<br />_ Requird latlr ol Noti6.ri6
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