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PLUMBING{NSPECTOR RECORD <br />APPROVALS DATE tD/slG.COMMENTS Owna-Auilda Dcladd <br />I h4by imm u&i p.r.hy of pdjury dr I M adpr fm rtc C@reb6' Li6k kw for rh. follo,ing Bo G6.rol L5 BGi.6s <br />sd Prcfaim cod.) Ary Ciy s corry which..quiE . pdnir lo cdErcl,.lr.r. ihPlovc, &oolish q rcp.ir uy ff@ruq pnd b iu <br />i!s@a. dio r.quiB .i. .prlimt f6 su.h pcmi ro fiI. i iian.d sE!@6r rhx hc or sh. is limcd p6udt lo $c Fovirios oi rt. <br />Cdt &rork U.a!.d r& (Ch+l6 9, c.mocira wi.b S*ii@ ?o0o of Diviri@ 3 of rh. Bu!in6! lld Phrai@. Cod.) c dur hc d <br />sh. i! cxcnpt 6.'.froE lnd 0E bari. fd 0t. dl.sld dn!66 .Aiy eiohtion of S.crion 7031 5 !y uy .rDli6t fo . D6nir iubjal! rhc <br />.pplior to . .ivil pcr.lry of n.r morc $tn livc h@&!d dolla (1500). <br />_1, 6 osr ol $c propdrr. d ny dployB wirh wrA6 s rh.n sob compaEdior, eill do rh. work @.1$c il'u.r[. is .or irtcn&d <br />or ollaqt a* !.]. ( se.?o4rr, BBi.o !d Prcfditu C.d.: ,lc cor..rd't Lic.M t * d6 nor 6pply b s oM.r of$. piop.n, <br />,ho build! d imFov.t $oa, ed who d6 loch *ort hietf or n.!.lf G thmd bit d ia oM .6ploye!, Fovi.l.d ln.1 ioch <br />imrovmdn an nol intadcd a ofrqld fd 3.1.. If, h@cva, lh. blildins o. improvmal i! iold wirhii o.c yd of cdpldioi. th. <br />Omcr-Buil&r will h3v. rh. buda ol p.oving tst t. d ih. nd build or imD.@. fo. tt! p[p6c ot 3a].). <br />_1, a oMd of ln. pfDFI , @ qcluiv.ly @tn rir8 *ilh li@r.d @r.Ets! ro @ltucl tu pDjet ( Sa. 704a. Bsinds od <br />Piofc..i6 C.d!: Ih. CoE-to.t Liccirc Ls* ds rct.pply ro ourof propsryeho b!il& ff iEFw6 6@m, md who <br />contelt fd .uch proj..n *irh i ceEard(!) li6!.d rurer ro rh. corF&rqt Li@& L.w.). <br />_lsd6FWd6Seri6-8. &PC. adrni.ra.d <br />I,ORICRS COMPENSATTON DECLAiAIION <br />I hdcby {lim uda pa.lty ofpqjuy d. of$. followins d.rl.,cio! <br />_l hav. ed *illmint3ii ! C.nifiorc of C@6r !o S.lfJNE fd wnl@ @np.ns1i6, s p.ovid.d fd by Sdtior lTOo otrh. <br />Labu Cod., for 0t. p.rfolMe of $. wod< lor shich tn. pmn is isocd. <br />_l h.vc ud wiu min.lin wot6r cdpm! o, inruru@, s Equt.d by Slcri@ 3700 of $c L!bo. Codc, for rh. p.rfomecc or rhc <br />*ork fd which $is pml t i$u.d My wdt6' MFr$do icu@c. si6 od policy nuobcr e <br />(This sccrion n!.d .or b. complclcd rf thc lqhir iN ror on. hu.dEd dorlaB {l I oo } or tB, <br />of lh. rc* foryhich rhis Fmn is i$u.4 I shsll <br />l.m of C.lifmir. dd reE lnor <br />Lald Cod., I shrll, iodhwi <br />wortdt qnipds.ion cov.r.*.b.rininol p@.hts ind civil <br />doUm (l100.000),in rddnioi , dan.aa s providc! fd tu S<rion 1076 of <br />th. Lobtr Cod., iDrad hd on6?'r f.6. <br />LICENSED CONTTACTORS Df CLARATION <br />I hd.by amm undd p.nalty ofpnjury !n l m li@scd und6 p,ovision of Chaprn 9 (7000) of Di <br />lh. Busin6. od Prof6sions Cod., xd li6sci! in full fcc. d.ff.c1 <br />of thr wqt lor Phich dk D.mit ii <br />,Ci" C) <br /> }ILIC ITI'S DECLAXATION <br />Dnolirio. ?.mir-Arbdr6 Nodf@don F.drlt R.tll.rioi. (Titt. 40. p.n 6) <br />* R.quircd tan6 ofNouncida <br />lo comply wio lll City and Counry <br />,bovc frdtioicd prcp.ny fd iiiDerio <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 />Misc <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanita Sewer/Cap <br />Rough Plumbi ng <br />Final Gas Test L-,rir I I iE <br />Meter Release EED Lt <br />FINAL SAi tc 843, 290, c 56. 667 <br />Notes, Remarks, Etc. <br />Back Flow Device <br />Io <br />D6r.: Ou- <br />----T----- <br />F- <br />=i-