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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS O,n6-Blil& D.clu.dd <br />I h.n!, nm undcrp.n.lty ofpcri6,trI sn tranp f(rm 0E CdEtdo.t' Licslt Lr? fo.rn. follflinsrdoi (t.,o!1.5 Burin.$ <br />ud Profgrion Cod.): r{ry City d CNt wbicn E{d.€ r panit lo .d!ud, rlta, imProv., danollth d Ep.jr ar, tEucrllr" Pdo. to ilt <br />l'.ue,.l& rqulr{ rh..ppli6r fd N.l! Fmirlo lilc r riF.d n tdat ll|.. hG d rh. h licsl,.d P$6r b ti. Provitio.t of to <br />Cotrstor! Li@t d tr* (Ctrptr q Comhdni rilt SEdon 7o0o of Uvilioi 3 of lh. Buinqt ud Proi-$id Cod.) * $.l hc 6 <br />.h. ir q6B rh@frn sd &. btni for $. .ll.8.d d.mli@ .A.y viol.dd 6f s@tid ,031., by ,y rpPliei rd . Fnir flbj.ca 6. <br />.ppliclr ro . .ivil Fr.lty ofnd nor! rh& fivc hur<tld dollD (t500). <br />-1,..ohaofrh.Flrqty,drlydrloy...willlw86s$cirsl..6tqttjo,eill&d,.wortedtn..ucneLnoiitlad.dd off€Ed f6 ..1. ( S.c.?oa.1, Bui.d sd ?rcfdid C.&: Tn. CmE*rd t Ucd. Lrw d€ no{ .Pfl, lo u Md of the FDFty <br />pho b!il& d itrlllwql th6..d, &d eho ds !r.h wdL himt.lf or t6t.tf 6 thouth hi. d hd om oploy.6, Drovid.tl lt'!l stcl <br />idp6v6mn G nor i.ta&d 6 ofi.Ed fd d. If. hN.E, ti. buildins or iop@ffidt k rcld wiiri. on. yd or comPl.rion, rn. <br />OsB-Buil.Lr eill hrv. rho bu.dd of proviis rhrl hG n !h. not buil.l or ihPro!. for th. Pu?6c of t.l.). <br />_1, o omd of !r* F.fcny, 6 Gxclsiv.ly @E .tins wnn fic4.d @m.rod !o dutuo in. Prcjel ( Sc ,0!a, Euind rd <br />Prcfdi@ Cod.: Th. C6Ersror'! Ucd. La* .loq not lpply rc a oM4 of prop.rl, eho buil& 6 inFove thlrlm , Dd who <br />cnrer! fd ruch prcjeE wirh . corDro(d !i.a*d P6uer Io lnc cotrclor't Li@G Liw ) <br />_l e cr.nfl udn S.ctioi <br />-,B. <br />& P C. fd th rcaon <br />eaBEESslAl4rNlArON.plClAlAgq! <br />I hftby .flim undd paalty olFjlry @. of !t. followiig dal@ti@!: <br />_l h.v. ud willnEjnlrn r Ccrdfd. of C@er io Sctf-INur. for wdt6 cmpa!.!@,,r p.ovidcd fd by Setion 3700 ollh! <br />L.bd Co.L, for th. p.rfq!m4 of dE wdt for vhich ttc p6nir u i!su.d. <br />_l h.vc sd will mlinrain v*td @hpaEdo inlttuc., B tqui..d by S.clion !700 of $. Llbo Cod., lor ln. 9.rfmoc. of lh. <br />wo* for which thii pmit k i.rucd My wnlcB @Fp..!adon ituute@ Mid ud Policy nuhbc a. <br />PoLc, N6b6 <br />-E,PE! <br />(Tnu ectio r6d ,ot b. .mplccd if thc pdnn i! <br />f *iry o" ,n tr," pd*e of nE wor* tor <br />t6eM. lubjd t rh. wo*d ' .mpcnt.tld l.w <br />ad Oi. hundr.d dolls! {1100) orla, <br />ey pd@ i, uy h&n.r 30 <br />@npdadd prcviliN tlbd cod., I !hdl, fnnwi$ <br />&lld (t l oo,ooo),ii .d.ti .d of cmFntdio, dm!a6 a providcd fd lh. Salio !076 of <br />rh. tlbor Cod., inrwn ud !tl6iyr! a6 <br />LICENSED CONTXACTORS DECLARATION <br />I hfrby .flim uds pdslry of Fjury thll I e licd.n @dr prcvi'io of ch4r6 e (colr@n.in3 wnh s.cio. 7oo0) or <br />lt. Bsia6 sd Plol*ionr Codc. dd my licdc it in fill fw. o.l.,Lcr <br />ud.r Fslry of psjury rhd l,he L . co6n@tio lo.!.9 raacy fa. rh! ,.dm&c. ol thc wdt for wtich dit Pqn l it <br />1097, Cil. C), <br />AI'IICANI]i.DECIAMIIAN <br />Danolirior Pcmn!-A!b6r6 Notiliclrid r.!4dl Rciddion! (Tiu. 40. Par 6) <br />_ R.qliEd t !i6 oaNolificrtio <br />-Yr{'l,Zt cqnry i,i <br />ihc fcdd.l rqllsd@r E8edins $bdro. @v.l e tor .p?li6bl. to <br />I hav. Eorl thi. ipplic.rior ud n6tc ro compl, wnh lll City Md Colnry <br />ordinecB ed slarc Llwt Etlting lo building <br />.bov. E6te.d ptu dq fd intpedd <br />ot fin Ciry ed Coury io dr6 <br />Waste & Vent <br />Water-Underfloor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <br />Waste & Vent <br />Water Piping <br />Gas Pipeing <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <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 EX PIRET' <br />I ttlt{A <br />Meter Release rtro <br />SAMC B-4 ),2S0,560,tat <br />FINAL <br />Notes, Remarks, Etc. <br />UNDER GROUND <br />TOP OUT <br />POOUSPA <br />Final Gas Test <br />WARNING <br />ladq! Nm: <br />- <br />I <br />I <br />=I <br />If--