PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O*n--Buil& D..Liti6
<br />I hclby dEm ud.. padr, of pdjury 61 I 6 d.nqr flfi Il|. Cmn*rdr' Li.a4 !e fd dr. foll@ins @@ (G.?031.5 Erild
<br />ed Pbf.rsioo cod.): Any Ciry d Co@ry wtict EquiE . p€iDir !o cdBnlc1, drr, inprovc daelih d Ep.n &y rEude. Fi6 !o io
<br />iauecc, dro Gquir.l th..pplic.rt ffiurl Fmir to fil. . liAncd idcl@r rhal hc 3h. h li6!.d p6oer ro ln. Fsvitior of ln.
<br />C..n d6t Li.d.d try (Chlpt6 9, Cdm6dn8 *nh s.diar 7000 of Dviri@ , of rt. BwirB rd Prcfdi@ C!d.) d rtlll h. a
<br />lhc i! qanF 6@frm 6d thc b..i, fd $. dl.8.d q@Fi@ .A!, violnid or S.ci@ 70! I 5 b, &y .r'pli@t f6 I lqDi $bj€1r 6c
<br />!ppli.&t ro r civil p.'r,ty of trd lle the fiv. nu(tld &llG (1500)
<br />_1, a osd of dt. popaty, d hy cnplorG wirh *.gq s th.ir @1. @p@xio., wiu & O. wql ed !ll.3rucr@ it nor inGnd.d
<br />or ofiqd fr i.lc ( Se.?044, Bqi.6 sd Prcfoi@ Cod.: Th. C6tt&1d', Lic4. Lrw d.q nor sr,ply [o s ()gG of d. FEFry
<br />wto buil& d inFov6 lt..u, ed who &6 tu..i *dr ii@lf d hqxlf r lnl!{C bie q h.f m 6pl.r..+ rmi.t d rhnt tlci
<br />imFot@oB e .or inrad.d d ofr6.d fd sal.. Il hwcvd, rt. hoiltti.s c inFov.'@r b sld *irhin @c y@ or corlPlaio! rh.
<br />ornd-Build.y will h.v. thr hrdd, of prcvina rhat hc d .ic not build d impDE fd $c purpdc of i.lc)
<br />_1, a oMr of $. Fopaty, u a.luivd, cot &tinB enn [6!.d @tret6 to cdttucl 6. Fljar ( Se. ?oaa! Bsire ed
<br />Pref6i6 Cod.: Thc Csr*ro.t Li.ae lrw &€ .or @9ly !o o omd of F!Ft, vho b{il& d i6F!€ $6s , od who
<br />@Exrr fd rud Fojq.L wirt . cdrand(3) Ii@&d pa6r ro rh. c6E&r.r'r Li6,. Llw.).
<br />_l n qopl udd Sdio A & P.q fa fiir !t.s.
<br />Dd: Osa
<br />WOf, I(ERI COM'T\SAfl ON I"CLANATION
<br />I h6tby .ffim @d6 panlty of Fjury dc of rh. rollryina d..ltr.ri@:
<br />_l h.vc ed will roinratn ! Ccrtilica. of C@or !o SdflN@ f6 *dtd' mF! i6, a prcvid.d fd by S.atia 3700 of lh.
<br />Lild Codc. f6 0E pdfdlMe of $. *o* rc rhic! lnc pdnit ir i$Ed
<br />_l h.v..d witl minnin wdtd cmrqaldd iBu&.., s r.qdr.d by Sario 3700 of $. Lrto Cod., f6 thc paftue of dE*dt fn which thn p6nit it i$ucd My v6t6!' conFlado iMl@e tria ud policy nmb6 e:
<br />(Tti! 3..ti@ nccd .ot b. @dpl.lrd illhc Fhn i! for O& hu(H dolls {$ 100) n 16)
<br />_l caniry 0'!t in 6. Ffmle of llE *dt fa rhi.l' thi. Fnit ir ilruc4 I lndl !c. olplo, &y lElg i. ey lfun6 e ! to
<br />be{Esobid lo$c qdr6'cdrpc llid lrw oacdif@i.t&d s8c 0!I if I odd b6om. qbjer ro 0E wdt6r'
<br />cmFr!.dd prcvij@ of S.di@ 3700 of6. trlor Co&, I 3h.ll, fafieirh @mdy wilh rh@ Foviiim .
<br />WA.RNING: F.ilero ,6ewdtd'cmF.rio @v.r.s. i! ghwtul,Bdihdlnbjcl M dptoralo Eimind Fdd6ed civitfiB !p to e. hu&.d th@d ddle (S 100,000),in .ddiri@ ro lhc cd of @mp..istim, d.n.86 s Fovidd for ihc Ssti@ 3076 of
<br />tn! bDr Cod., inr6t ed .trdrcy'r f6
<br />LICENSED OOnatACmtS prcr_An TION
<br />I hcrlty &fEE Eda pa8lry of pdju.y lhrl I m licor.d un<Lr Foviiioo of Ct+ld 9 (cdmtui!8 yilll S@tid Tooo) or Divisio I of
<br />$c Aain6 ed Pofeim Cod., r h, li.G. i! ir tull forc. od dli.r.
<br />w,, 5-r 2./a /
<br />C('NIIIRUCIIOI{ LEIIDING AGENCY
<br />I !c.t!, .md u.& p@dt, ofFjuy thn 6a n . .o€nu..iat latdila .8arcy ra tc Ffottrc of tL rqt f6 rnid lni. Fnft ir
<br />i.rud (S... 3097. Civ. C.).
<br />A?PLICANI'S DECI,ARATION
<br />Danolilid Pdil!-ArhclB Noijfierio F.d.nl RcSulcjod (Tid. ao, P4i 6)
<br />_ R.quind t drn of Nodficlde
<br />_l ..niry th.1 th. r.dd.l EsulsdoN Bs.di.8 .b6rd moul e no. atDli.lblc Io lhii projel
<br />_ I c<liry 0'!t I h.E ,ad tii. .r'diqlid ed !nl. llI.I dE .bov. intaE liq ir cdE6. I lsc b cmply wirh .ll Ciry &d Cd y
<br />dlli..lE rld Stn L4 rd.lilg to h{ildht du$!.ri6. ard hdty urhdii. r.Flsa ,niG otrhir Cit, ud Cdfly o arld !F. lh.
<br />&ovc l@tiord F.rqly fd i8ratio Frp..6
<br />V.l tZrtz Z.\->2=,
<br />c--sa. d
<br />UNDER GROUND
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<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 />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />trYD]E,Er\
<br />Rough Plumbing
<br />Final Gas Test FEB O I 2C!9
<br />Meter Release
<br />FINAL
<br />Notes, Remarks, Etc
<br />Waste & Vent
<br />Water-Underfloor
<br />Waste & Vent
<br />Pool Heater/Gas Line
<br />,u, goo, O6
<br />ti6!. N6t6 _,'.
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