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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.
<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-trap/Drain 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 />trYtrI ET'
<br />Rough Plumbing
<br />Final Gas Test FEBOI ZIIIS
<br />Meter Release
<br />FINAL
<br />Notes, Remarks, Etc.
<br />O@-Asild.r Deludim
<br />I hdt8y .fiim 6d6 F.nry of Fjur, ll'.( I o q6!n fom tlB C6Eerdr' U.ae re fd dE folldinS lao (c.r0l1.5 Bsina
<br />&d Prcfdio C.&): A!, City r Ce!9 *ltct rcquiE a p6mir to @!Eut, .lr!r, imprcvc d.tmlirh o r?.n ey
<br />'tu.r@, Fio ro ilt
<br />it.@c., .ls EqdB $..ppli6t fd rui pdmn to 6k. ri8r.d rtio@t l[! h. d rh. i6 li@cd F8@r lo rhc F6vi3i@ of thc
<br />c6E&ta', U@&d r!* (Clrycr 9, C@cbg {irh sed6 7000 of Divtid I of lh. Buitr ed Pof@i@ Cod.) a ll]|a IE a
<br />rtc ir ddF lt@tw &d 6G bdi! fa dE .ll.t d cranFiot .A.y eiolrr@ of Sdia ,01L5 by oy qrlidr for ! Fitn 5sbjc.ri ntc
<br />,pplicar io ! cirir Fdiy ofrd Ie th.! 6E hEdld &tt6 (t500).
<br />_1, B ogs of th. FlFty, c By dployG wi$ qrg6 a thcir rclc @oFrsslior, vill do th. wdl dd $. rr.lctrE i! nor inrad.d
<br />d ofdrd fd ral. ( Sd.7O44 BNin< rd Pmfdid Cod.: nr. CeEetor's Li.a. L.w dG Dd rpply lo e omd of rh. !.orsry
<br />wto b{il& 6 inD.ov6 Ih.t6, md vto do6 rEh *dl haelf q hddf tr fird8h hi tr hr (m oployc.d prcvid.d th.r sucnimprovma & not inr6d.d d orcEd fc a.1.. If, nowda. 6c building s ihpoffint i! iold within o. y@ of Mpldjon, lnc
<br />Oma-Buildd will h.E th. hdcn of Flvin8 t'ul hc d .h. .or boild q idprovc for thc purpc. of r.l.).
<br />_I, a oMa of $. FoFny, 6 *luivcly c6E!.in8 wiln li6&d @laldr lo contuct ,'. Fojcr ( Se. 70a4, Bsio6 6d
<br />PDfei@ Codlr nG Cetr.Ior'. Li@!c l& d6 Dor +ply 10 4 lME of FlFry pho boil& 6 in .ov6 rhtu , sd whoond. f6 ir.h Foj.{,! wirh ! cdr!.E(, li@.d pltt@r ro rh. c6E&ror! uc4. trw ).
<br />_l u ddr od.t s.d6
<br />WORXEIIS COMTENSATION DECI-^NATION
<br />I h@by fim @d6 p@.lty of Fjury dc of tb. fou@ir8 d.ddi :
<br />_I h.vc &d *ill id.n r Cdifior. of Cd6r ro S.lfJd@ f6 *dt6'cdlFi.lidr 3 Fovid.d fd !, Scctio 37OO of6c
<br />trbd Clda fd 0'. Fforu@ of $. edt f6 which th. pcnir i, isu.d.
<br />_! havc ed will tuitrr.in wdtd' cdnF!.ti@ i.!ime, a Equicd by S6li6 ,700 6f $c Lbtr Cod., fd rh. pc.fmee of tc
<br />wct fd *l d lhir Fnit i! isucd My rdfa' dnF!.lim iNuoe Mia sd policy nmbd e:
<br />Policy Nwb.i_Erir6:
<br />(n i clid .ad not b. cdrrl.t d ir $. Fmn !r td On. hw&.d donm {t I00} or ld)
<br />I 6rit lh.l i, thc Ffm6 of $. vdl f6 *hich rhk pqftir n isE4 I sndl no. oploy ey ,.8@ in D, Mn6 io d !o
<br />be.m $bjd io $. wdk6 ' drycBrdd l.B of Cria@ia, od aaE $!r if I lhould b.dft &bjdl io rh. wata'
<br />@mpaB8rion Foyiiim ofsarim 3700 of&. Liils Cod., I siall, fdrlvilh cdnply with
<br />rv^rMNG: r.il@ to t6e vo*6' cdnFE io @varsc ir ul8.f!|, ed tt.ll sbj..r e @ploya b oinin.l Dqlrftj6 od civilfir6 up ro o. hur.tltl rhowd &llB (ll0o,00o).ii .dditid b tn. @r of cqnFlcio, drr!.s6 s Fovid.d fd d& Serio 10?6 of
<br />rh. Lrbo cod., inlc d ed lrb.icy't f..'.
<br />ucENsrrr coNTn cT'oEi Drcr ataTtoN
<br />I t@!y.mm @d6 Fdry of Fruy trt I &n licq$d udlT Fwi3i@ of Cn pid I (cffi6dtr8 wirh Sccrjo Tooo) of Divirica, of
<br />$. BBind &d Profdrio! Cod.. &d lry lieE ir ia tull fde 6d .fi&r
<br />Licqlr! Cl.sr_ Ucoe Nmba
<br />n,, .F-zrrZ dl c^,*-4
<br />cONSIAU(:IION LENDING GTNCY
<br />I ha$y,fim uda Fdg o(Fjwy thd thc t ..o ir!.iid Lrdini.aslcy ror lh. Fforrc of Oc dl fa rhid! tti. Fhir ir
<br />I iBucd (Se !097,C'v. c)
<br />ATILICANIT.DECIASANAN
<br />D€tulitid Pmjt-A!h6r.. Nolificilio !.&..1 lcgrldi@ (Iidc 40, Plr 6)
<br />_R4oird t ra ofNorjfdiar
<br />_l cadry th, ti. fcdo.l t!8ulci@ rcsadh8 ab6ta lfuv.l m no. @lic$lc ro dhi! pro,...
<br />_ I cdiry thn I hrvc rc.d rhir rpplic.ti@ od n r. lhd lh. r!ov. infdnnrid i! cm<1 I agr6 to comply vit .lt Cit, Ed Co@ry
<br />ordjrD.6 &d sttr. t,s 6llril3 b buildins c@ltlcrja, arld ha!!y urho,i& cpr66rliv6 of rhk Ciry Dd CNry ro drr lF|t rh.
<br />.bov. mati@od F.Fry fd iis!6ii@ p,[p..6.
<br />Ii'
<br />-lrcp€cuonForms 03.31.06
<br />COMMENTS
<br />Back Flow Device
<br />f,rrE' OraF
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