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PLUMBING{NSPECTOR RECORO <br />APPROVALS DATE tD/srG.COMMENTS O*{ccAlil.kr Dc.l.rdon <br />I h@by rffinn uid.r p.ndty of Fji.y lh.i I m Gx6E fm inc Co.lrdor3' Lic!,1!. Lre for thc lolloqirs t lroD (t...?01 t 5 Burii..t <br />ed Prcfsion Co&) Any City or CMty *hich eqliB . Fmir lo @!tuct, dr., ilnFovc, ddnolth d Ep.it uy tt!cr!,c, PriG !o iB <br />it!!dc.,shoEquiBt..pplicxrtor$cnFnirbfi|..ti8n.dn.ros.rdrth.or.nlic6r.dPuBuellolh.Prcviliotof$. <br />c6r8(! Li@t d L* (O!.{nd q Cm6cin8 with s.ciio 7000 of Diviti@ I of 6c Buias ad Prcf6d.N codd d Ul.l h. d <br />ih. n d.npllhcfroh -d $. bsi, fc dlc.ll.s.d dhprid .An, riol.ri6 of S6ti@ 7031 J by dy iPPlimr fd. p66n rubjcc6 6c <br />lpplicdt to ! .i!il pcndry of not norc th& fiw hu&od doll.r, (3100). <br />_1, s omd of ,r prcp.ny, d a, mploycq willt w.ad s $.ar &1. codp.tu.tid, will do $c eo* ed lh. ,lrucrl!. n nor inl.nrLd <br />d otr Ed fd rnl. ( Se.70a4, BEii@ &d Prcfdi@ Cod.: rn. CdE&16! Li.d. L.w .be not .Prly to D om6 of dt. ptq.rry <br />who blildr or improw d.t6. Dd *ho dc rch wo* hiN.lf or h63.lf o. orou8h hir a hd om .mploy!.3, Fovi(H lrrir such <br />ioprovftdi! @ nd intft.Ld 6 or.rcd fd s.lc. If, h@!q. rh. blild,nr d ifrFov66r h told *irhii o.. yd oi @mdaio., &t <br />OMo'Buildd eill h.E tn. buda ol Fovinr ln{ n. or tn. rct blild d imFor. ror d. pu+Q. of sl.). <br />-1. <br />s owna of rh. prcpdry, s crclui,.l, 6br.dn8 rirh lic6t a dlrdon to .qBrilc th. Prcjd ( S@ 7044. Buin{ ud <br />Prcfeioi Cod.r Thc Coinr.lq'r Lic. . L:w doq .or .rPly ro u ownd ofprcpcny eho b!il& - imprcvq $.I!on , .Id who <br />conrr4r, for such prcj@E s,irh ! cofurio(, li*.rcd pduer ro ln. confttor'r Lh.N. bw.) <br />I n .r6d uda S.cdon .B & P C. fo. thi! t .roi <br />IVOTI(ERS COMIENSATION T'ECLARATION <br />I hd.by aftim lndd paalty olpqjury m. ofttc followina delmtion!: <br />_lh.v.edwilltui .in a Ccnifiol. of Cd6t !o S.lf-In!ur. f w6t.n' cmp.fu! o.,3 providcd i6 by S@ on!700oflhc <br />Land codc, fd $. Frfdr@e ollhc woit fd whi.h U. Fot it is!u.d. <br />_t hrv. dd will tuindn ?dt6' cdnFnr.rion inr! e, B rqquiEd by S.cdon lrOO of dr L$c Cod., fq th. Frfortua of tn. <br />*nI fd which rhi! Fmit ir isu.d My wot n' cohFu.tion idurde di6 Dd Policy .umb.r 4: <br />bc ffipla.d if $. pqmit it fd O.. hui&ld dolls lll00) dl4) <br />oft.po* f which lhir Fril it i$q.4 I rhtll <br />hw! of Cdifmi4 Dd lBrE <br />vorkd' cornp6$d6 cov€d8.nployd ro qioinn Fr.hi6 ud civil <br />hu&!d lnolsd dolla (ll0o,0o0),in a provid.d fd rh. Sslon 30?6 of <br />inrqct ed onomcy! fds <br />I n6.!y .ftm udd p.ndt of o..jory lh.l I n hdd proainon of CtlPtr 9 ( <br />rry licolc is in tull fd. ud c!T.cl. <br />iBfotuuc. or in. wdL for which tnir Fmn i, <br />309r, Civ. C.). <br />AIILICANTTDECI/ BAIlad <br />D.noliiio, Pmi6-Albcrro! Nc,iific{ioi F.dall R.Sohloir (Tld. 40. ,rt 6) <br />_ ncquir.d rrnd of Notific.lio <br />dd d'c f.d6.l rcgulltionr r.gading abato! <br />{t.r I h.vc Eld $b rrplic.lio rd .8rc.1o comply wilh dl Ci9 ud <br />.rdirscd $d srd.Int <br />abov. harin.d prcp.iy fd intpc.iior <br />UNOER 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 />Back Flow Device <br />Rough Plumbing EVElIT FN <br />Final Gas Test <br />Meter Release rrR-t 20lu <br />FINAL SAMG U.r.e, ., <br />Notes, Remarks, Etc <br />--T--- <br />I <br />I <br />I <br />I <br />I <br />=