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APPROVALS DATE ID/SIG.COMMENTS Ov.d-Buitdd Delardo <br />I h4by .flim udo pa.lty of Fjury rhd I o .xopl lm lhc C6r&ror3' Licai. Llw fd rhc following @on (r!c 7031.5 Buind <br />ud Prcfdrion Codc): Aiy Ci9 d Couiry *hich rcquiB r p.ml ro @iiucl. !ltd, ihFovc, dcmolirh or rcp.ir &y ltrudurq prior ro ir. <br />iss@cc .l.o rq!i6 lh. rrplist ld luci p6nn to filG . li8n.d dtimd ${ tq n !h. ir lieiscd pumsr ro t. prcvisioN ot 6c <br />Conn&or'3 Lic6e.d Lrw (Ch'pld t, Com6ci.8 wirh S.clion Tooo of Ditio. I of rhc Bsir6 and profdsioi Codc) or rh.r hc or <br />shc ii.xd U@from &d $. b3i! fd dlc.ll.s!d qmptio Aiy violdoi olscdion 7Ol I 5 by dy alplior for. pcnir subjers $. <br />Aplier to r civil pa.lg of trd mor. $e fivc hun&crt douc (1500) <br />_1, a wtur oalh. FoFiy, ormy dployB vith y.s6 s lh.ir sol. c@p.rodi@, will<to $. sort &d rhc nD.ie i5 not in!.nd.d <br />or oitdd fd !.1! ( 5*.7041, auin* sd Prcfdim Cod.. mc Conr&.rd! Llm. L:w dd nd .ppty ro e oMr oa lh. proF r, <br />*ho huilds d imFov. 6q6, ed who .h.r such *dt hielf h@lf 6 rhM8h hi! or h- own optoy6. Fovid.d 1h.1 5!ch <br />improvmaB e not intad..l6 oftad fo r.l. ll hry.va, $. blildinr 6 ihFov.hal i! sold wittin on. y@ of @mpt.tie, rh. <br />OM6-Auil&. will h.v. rh! bs.dcn of prcving $ar h. or ihe ior blild o. iBprcv. fd lh. PIryG. or s.t.) <br />_1, a Ma of $. p.oFny. m .xcluiv.ly .or&lint vith li.osd c@nldoo !o con$la rhc pej.ct ( Se. ?Oaa, B6in* &dkofdion Co&: Thc Cotr*ro/, Uco@ L.s d6 not qply to u own6 oapmlsry ,ho blitdi q ihprovq $6@ . dd vho <br />@r&a fq tucI FDj*1r wirl . cer.cor(!) li@',!.! plJl'ur ro lh. cdfico.t Lica& l:w.) <br />_l m 66pr ud.r Seri6 <br />WORXERS COMTENSATION DECI,/TRATIO]i <br />I heby.fim udd po.lty of pajur, cl. of rh. aollryir8 d..l.rxin : <br />_l hlec ud will miillin I Cqrilicdc of Cencln ro Sdr-lNurc fo. wort6' mp.iialon. ri Fotid.d 16 by seion jToo oirhckbd Codc, f* lhc FfdD&a of fi. wrl for whicl ttc pamn i! im.d <br />_l hav. d willnaintair wdt6 mp..s.rioi io3urdc.rs r.quircd by Sldion lTooofth. Lrbor Cod.. aor th. p.rfom&c. ofrh.wo* ftr whi.h $i! psmir is i$u.d My wort.6 @nFBri6 insurucc triq ed policy numb.r d. <br />!oli., NunDa_ErpiB <br />(ThE sdon rad nd b. @mpl.rcd rt $. pqh r <br />,(^,, nnr,., *^e or.". w6r. .mb&s. subjd b !h. *0*6 ceFrlsm l.*r <br />ro Or. hun.lrcd dolle ll l00l d lB) <br />wnich thk Fm i! truc4 I shall <br />of C.lifmi.. &d ssd 6.r if <br />conp€ns{im provisios of Scdd l70O ol rhc Labd Co<L, I shall, ad$wti <br />/1-o6 <br />WAPJ'ING Fdlur. ro $c!e wdt6' comp.nsari@ @vang. i! unl.wful, sd !h.ll !dployq io qimi..l pc.!hi6 ed civilfin6 up to oc hu.d.cd 6oB6d dolls (t r oil.ooo),in !.tdirid b ln. co.t of conpcBttior, d5m.B6 a providcd for 6. Scc on 3076 of <br />rhr L$or Cod.. inrd61 dd lndcy ! f.6 <br />I hdcby a,fim un&r po.lry ofp.rjury drt I m lidcr prcviiioi ol Ctapta 9 (n, wnh Serion ,000) ol <br />6. Buin6 ad Prcf*iom Cod., ud ry li6s. is ir full f(re ed.lle. <br />-l( -o <br />I hd.by .flim unda po.lty of pdjory rh.r $6? i5 . @ .!cri6 tddii8 ryocy fo lhc p.rfmucc ot fi. wdt for qhich lni! p.dil isi$!cd(s6 3097.Civ C) <br />AITLICANT'S DECLANATION <br />Ddolirio. Pmill,^3b.ste Nortficlrim F.ddrl R.sut.lj@! (Iid.40. pet 6) <br />_ Rcqunld ktta of Noti6c.rr'o,t <br />-ty6d. <br />Ltd,ad E$'r.ria' G8rdins <br />---lc!flify dlrl I hrw qd di. epl'csid ud ro 6nply wi$.ll City ed Counry <br />o.dindc6 od S@? l-3wr El.tns ro buildin8 of lhit Ciry .nd Comr, ro aar qpon lhc <br />abovc h6ti6qd rmp.r9 fr idpccrim p!rr.66 <br />tGo.L <br />UNDER GROUNO <br />Waste & Vent <br />Water-Underfloor <br />Gas-Underfloor <br />Building Sewer <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipei <br />Roof Drain <br />Tub/Shower Test <br />Rou h 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/Ca p <br />Back Flow Device <br />EVr <br />Rough Plumbi rr\t lJ <br />Final Gas Test ETR I rnm <br />Meter Release <br />DA|'I||U U.40,zso, lte. a J7 <br />FINAL <br />Notes, Remarks, Etc <br />PLUMBING]NSPECTOR RECORD <br />Area/Storm Drain <br />= <br />=