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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.OMa'Builda D.clcr:d@
<br />I h@by .mm udq paslty ol pajur/ thd I d .x6pr lm rh. C@td.ffi' Liffi* Llw fo {t. followi.s rcqon Ge 7031.5 Bcin63
<br />ad Profelion Cod.) Ary City d Count, which rcquir6 ! p6nir to cmrucr rlt ., inpmv., d<nolish d &P.ir ey tructut , prid ro iri
<br />i!s!&.., slso rcquiB $. +plic,oi td such P.mn io fiI. a tisn.d tllEEd lhlr h. d 3h. i5 lictu.d tu@l ro rhc ptuYiriotr! of th.
<br />Co.!_Erdt Lic6.!d ll* {Ct!tp.n 9, C@.ina wi$ S*rion 7OO0 of Dviiion 3 of rt. Bqindu sd PtolBios Cod.) d lh31 h. or
<br />rlEi!cx.dprlh6rfr6&dth.bsirf6lt..ll.Ec.lcr@?tof,Aryvioletionofs.cti@?03I5byoytPplicdfdaPnnnsubiea.
<br />lpplicdr to a .ivil pqBlry of not il@ ihe 6v€ huid.cd doll6 (1500)
<br />_1, E ownd of tlr prop6ny, or ny mployG wi$ wag6 s lt.ir sol. 6tpcsario., will do d. wod ed t. s!rucn!. i5 nol inlodcd
<br />m of.Ed fr s.l. ( Sa.?O/t4, BGii6 ad rrcfdi@! Cod. Tt. C@lr,.ror'r Li.s. Lry dG iol aprly ro u om, of t. popctty
<br />wto buil& or idprovi3 Ihd@, ed wlo do6 ch ao* hiroclf d h@.la d lhdugh hi! d hr om mtlord, Fovid.d Ulr 5!.h
<br />improv.lMt! e not inr6d.d d ofl.r.d fd 3slc. lf, howcvd, 0E buildiry or iftPrceddt i5 iold wilhi. 6q y@ or qmPlltio, tnc
<br />OMr-Buil& rill h.rc Ih. bur.tco of provins th.t ltc d rn. .ol boild tr imPrcvc for thc Pu.!os. oa sal.).
<br />_t. e ownd oftnc prcp.ny, M.rclGiv.ly @.tre!.8 *ith lictu.d @nF&6 lo @nstacl thc proj.ct ( S.c 7044, Bsind 4d
<br />P6l6im Cod.: Th. Conl,!.rd'r Li@. Law d6 .or rpply to d oMa of prop.rt, who builds t improvs $t on . 6d wno
<br />conria.lr tor such projds willl . C@rr&rd(r) li@.d puE@r lo $c Cotrdoas Lic.N. L.w. ).
<br />_l d .xdpl odd S@li6
<br />-B
<br />& P C. for rhis r@@
<br />WORI<ENS COMPENSAAIOIT DICI-ARArION
<br />I h@by sf6m un.ld paalty of p6jr.y @. of lhc fouowinr dlcla,lrim:
<br />_l hsyc dd will mi.l.in . Cqriii.{. of ctu6t lo S.lf-tn3e for wdlc6 conptustron,3 provid.d fd by stclid lr00 ofdE
<br />kbor Cod., lG rrr. pcrfmMcc of thc *od. for ehi.h tltc pdhn b isu.d
<br />7-t .* -a *itt oanralo wt*' comp.nr.r,o iEuruc., as Equtcd by sccdon 37oo or $. L.hq codc, for !h. p.rfomecc of rh.
<br />po* ld which lni! pqmit it isu.d. My wort6 @mp.nrdion in!@@ crnr dd poli.y numbcr e:
<br />Polhy Nwbo,-Expi.6:
<br />Gni! r@tion n.d.cn b. @npld.d ifth. p6,nn i. f6 On hudr.d doll4 {ll0o} qlB,
<br />_l cdriry lhar i.lhc rrfmD@ of thc wot ld vhcn tnis p.mn h isscd,I rh.llnol dplor dy pqson in &y mmn.t so a |o
<br />bed. subj..r ro th. wo*6 @nFro{ior hE! or crlifmia, &d asrc th.r if I !t@ld &.om. subj.d to th. wo 6'
<br />dFls6tioi Fovisid of S.clio 3700 01ln. Lrlc Co&. I *dl, fdln*ith @nply eio $6c poi!
<br />e)-
<br />WA,INING: FailG to !..E wdtd' cmFt.tj@ @vE g. i! unl.ptul, Md 3ndl 3ubjccr e fidoya lo oimir.l F..ld6 rd civil
<br />fin6 !p rod. hudld 6ousddclld (ll oo.ooo),h .dditi6 ro {:. c6t of@mp. anon, d4rea6 6 Prcvidcd ld,'. s.cti6 30?6 ol
<br />l,E Lrbr Cod.. hEr6t dd !!lom!y r 16
<br />LICENSED CONTRA TOiS DECLARATION
<br />I hrcby .fiift undd parlty of pdju.l t.! I e lica!.d ud6 proviron or Ch.$.r 9 (ffi6ciig vith s.ctid 7o0o) of Divisioi I ol
<br />0E Buins &d PEr.riiod codc. ed my lictr. k ii tuU f6e dd Gft .t
<br />//-2{-a E-
<br />C9$I8!]CII9Ii!E!DUG]EENSI
<br />I hdcby smm udd p.nalty ofpcrjury lllat rhd. is, @isr.uclion ladini a!6cy fs thc pcrfomdc. of lhc vort for which thk p.mit is
<br />iisu.d (S{ 309?, Civ C)
<br />APILICANT'S DECLARATION
<br />Dmolnio PmiE-Asb6l& Noifiqri@ !.d.r.l R.suhrioN Clitlc .0. P.fl 6)
<br />_ Roquird L.nd ofNotific.rm
<br />_l cdliry rh& dc t ddl Etuhd@! Etddins Bb6ld ffivd E not ppli.itlc 10 thir Fojcd.
<br />-Z1-.otry o.r r rr"* roa out .ppticrdd sd rlllc lh.r !E .hov. i'fffi.Ii6 i. .mct. I .s@ ro @mply ,nn .lt city ed cMt,
<br />6din66 3d Srr! Ls. rcl.ri.s ro bqilditrs @dtucrior dd h€lby .llhdia EF6artiv6 of 6it City ad Couty ro 616 upon ih.
<br />3bov. ndri@c! prop.ny f6
<br />l<y'ar',4// a</a,12
<br />UNDER GROUND
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P{raplDrain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing EXFIF ED
<br />Final Gas Test
<br />Meter Release f-EH fl |7n$
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />Waste & Vent
<br />FINAL
<br />Lait 'r Addra
<br />Ct-
<br />tl
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