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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<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 />Main Drain/Pool Pi ptng
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Servrce
<br />Water Service
<br />Lawn S rinkler
<br />Sanita Sewer/Ca
<br />Back Flow Device
<br />Final Gas Test
<br />Meter Release
<br />FINAL
<br />Notes, Remarks, Etc
<br />Om.FBuild.. D@|...rion
<br />I td.by .fiim u.la pa.lry of pajuy th.r I o ddF fm rh. CoE&td!, Li6& L,w fm rhc toltoyins B@ (s.?ol l. t Buins
<br />ed Prcrdio CorL): Aiy City c C.ruty which Eqlir! r Fnir lo @ntEu.r,.tr6, anF!v., dmolish or Eprir oy sn!cru., pnor ro iBi$we,.16 EquiB th..pdi@r for !!ch Fmit lo lil.. sitn.d.rar6Er |nr t. d dlc i.li.sls.d pGuMr !o dc prcviiion, oftcCobl.ld! Lic6s.d rrw (Cnrp6 9, Cmtudn8 wirh Setion TOOO of Diyiiior 3 of th. Buii6 and prcf6io3 Codc) or rhat h! d
<br />rhc b dnF thefr@ Dd th. b.rir fr $. .lks.d dmprio .Any viotlli@ of Sctid 703 t.5 by ey lppliur fn r p.dn iubjcd! lhclppligt io e civil p6.lty of nd !l@ iid fv. hun&Dd dolls (1500)
<br />_1, a oMa of th. FoFry, dmy mployc., wio q.86 s 0!cir st..dnp.$.lj@, Fill do rh. work ed 0!c srruct@ ie nor im.nd.d
<br />or o,f.rcd fd lrlc ( Sd.rora, Bqina dd Pbf*iN Cod.: Thc Conr*rs,r Lic@c t3* dG nor rppl, ro a om6 oi rt. prop.ny
<br />who b!il& d inFoc $o@. Dd vto do€ su6h wdt ti@ctt d h6df a $Bsn hn a ha oM ddov6. Eovi.bd ${ ,uchihprcvhq6 e nor iildrtld q or6cd fd $1.. Ii h@a6, rh. buitdin! d ihpro;.tmr t srd s,!hh on: y; of cohptcrim, rh.
<br />Osnd'Bu,lder sill h.vc lh. bu{kn of Fovir8 rha h. 6 rh. .or buitd 6 imFov. ror tnq purpG. of klc)
<br />_1, q oq6 of rt. Fo?.ny, m dclqrv.t, hDdin8 wi$ tieBcd c6E&br ro cotrtucl thc pq.d ( SGc 7044, BEin6 ddProtBis Cod. Thc Cdrdoa! Li@s Lo, dod nor lpply to & om6 of FDFry *ho b{ildi ; i;provd lhtun , &d whomi,&$ lor iuch prD.i..l. ?i0r . Cdfurd(.) Ii@tld pudwr ro thc Couetd,i Liqi. Lrw.)
<br />_I e cxmpt ud.r S6td _B & p.C fd $ir !!en.
<br />WORI<ERS COMPENSATION DECL\RAATON
<br />I hftby amm !id( Fndry ofFjury tu of6.lollowins &.te Nl
<br />_l IavG ed will m.inr.in s Cdrifiqlc of C@6lt ro SdtlN!rc for wortE!. mp.ns.rion, s provid.d fq by Seion 3?OO ofrhckbo Co&, for rn. p.rfd1@a of tn. worl fd which rhc p6nn is isu.d
<br />_l n.t. dd ,iU h.inuin wdt6' 6p6uti6 i.rumc.. s r.quiEd by S.cli@ ITOO of lh. L.6o Codc. fd th. pcdomoc. of lh.
<br />wotk ad whi.h $i! pdnn t isu.d. My rdl6. empslglid irsutuc 6i6 ed lDticy nuftb.r rrc
<br />Policy Nlnhd _ErptrB
<br />,Zt,^,^
<br />.ot b. @mplactl illh. Fnit i! fq Orc hlntL.d dolls {t I Oo} d I
<br />thc p6fomuG of6€ wGt aoi shich tht p.mt ls issu.4 t
<br />rhc wort@ ' .mpctu.rid Lwr of Cdif6i!. ed.s@
<br />3700 of l,!. Lbd Co&, I !h.ll.
<br />WARNING: Failurc to BE wd(6, comp@slie
<br />fin6 up to on. hun&cd rhoMd dollB (tl oO.OOO).ir
<br />$. Labo! Cod.. int66,t &d arorEyk f.6.
<br />or.r ro oiminll pcnllriddd civil
<br />d.6.Aq a provid.d fd lh. Se.ion 1076 of
<br />LICENSED CONIRACfORS DECI ANATION
<br />I hcrcby affim und.r p.nilry oip.rjury thlr I m li@.d und.t provision of Ch./a 9
<br />rh. acines ed Ploa6ions Cod., ed my li.fu. is in futl ad.c ed.li.cr
<br />-o
<br />I h@by tffim undd padry ofpajury lh.r $G.. ir . corEu.lim
<br />iaud (Se. 1097, Ciy c').
<br />6l rh. wo* for wiich lhir p.mn is
<br />AIILICANT'S DECLAIIATION
<br />Ddolit'o. PmrE-Alb6rr Nori,io on F.d6.l R.tutsi@ (Tnk 40. p.a 6)
<br />_ Rcquir.d tlG or Norficrrr6
<br />ro @mply with.ll Ciiy &d C.!my
<br />a!ov. motim.! pDraiy ad inspclid ";i:ry^-
<br />POOUSPA
<br />P-trap/Drain Line
<br />Rough Plumbing EXPIRI iD
<br />Ul rr UIJ
<br />SA \,lc &d3 ,on
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