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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE tD/srG.COMMENTS Oma-Auil.ld D.cle.dd
<br />I hacby rmm u&r po.hy of Fjury thlt I 6 ddd fm lhc C@rr..roo' Li.oE lrw fn rh. rolloeins r.&n (k.lo! l 5 Bwin6,
<br />ed Prcrclid C.d.) Any City d C.unry which rcqd6 r pdhn to 6!I!cq dta, improv., ddolth tr !.r.i' u, ruudlE. pnd ro 'Bis@e, rlso r.q!ir6 lh. lpplidr fd tucn pcrDn ro filc . ri8!.n {at.'@t tirr h. or sh. k li.or.d puGudr to rhc prcvi.i63 of fic
<br />Coitr&lor's Li@r.d llw (Clryt r 9, Clnmoci.8 pi6 Sdio, 7mo of Divilio ! of lhc BGin* ed Prot*i$ Cod.) d rhd tu or
<br />ih. i! d.flpt thdt@ dd rh. bsir fc dE rllc8.d .xdpri@ Any violsrio of S.crim 7O3l , by ey applior lr r ponn iubj@6 ih.
<br />appli@r 10 . .ivil F .lry of .d moc rhM fivc hudr.d &lla (3500)
<br />_1, a oM6 of d,c F.?.ny, d ny dnplorB pi6 w.86 s $cir sl. c@Da!r.li@, will & $c work dd lh. sru6ur. i5 nor i.t.rd.d
<br />or olYd.d f6 3.h ( Sd.?Oaa, Bcind Dd Prof*i@ C.d.: Thc C6E&1st Lic4. tr* dc nor .pply b u om.r of rhc prcpcny
<br />eho buildt d ihFov6 lh.rEn! Dd rho &€ ruch w6t him.lf d h6.lf d dreSn h* r h6 own mploy6. Fovid.d 6d such
<br />imprcvtua e nor inEut d G off6.d fdr.l. lf, h@.q, rh. buildiry d ihprovmc'r ir lold w,rhi. onc y* of .mpl.rid, rhc
<br />OBa,Buildd *ill h&c lh. bod.n of pronns rh.t hc d sh. .or build o imFoE for th. purp6. of sdc)
<br />_I, a os6 of rh. ptuFty, m .xclqivlly @r..1i.8 wilh lie6.d c6r.&roB to .qrrud $. pEj.cr ( Slc 704t. auind ed
<br />Prof6lio Cod.: Thc Corr.dol! Li@r. Lw dc no{ eply ro o om6 of proFry rho builrL * inprord $!,@ , xd who
<br />.oir!&r! rtr ruch prcjert *irt . C6t &1d(, licacd p{tur 10 th. Conr.l.lors Li*tr@ Llw )
<br />_l M q F uda Sadd .B. & P.C fd rnir l!&r.
<br />Policy Nmblr Exoc
<br />A,*.,.*,^.
<br />E-mc ufuer o rt c
<br />b. @6plclcd iflh.rahn k ior On. hu.dr.d dollaB {lrO0l d l.$)
<br />pdfmee of drc {orr fq which $i3 p.mt ir i$!c4 I shdlw.r*6 cohr.niatid hws of Califmia. ad arr6 rhar if I
<br />ofrt L.b.. Cod., I rhlll, fdnwi$
<br />WARNING F.ilur ro !*Evdt6 omraEdo @1618. is 6l ro qimin6l p.n!lti6 sd civil
<br />fi.6 !p ro on. h6&.d dorrsd dollE (3100,00o),ii .&iri6 to lnc cei of c@pauai6, dsr.86 s lrovjdcd fd Oc &dior 3076 of
<br />th. L.bor Co&. inrqr6l ud tltotulyt fd.
<br />I hd.b, amm u&r pc.alty of p6lury 1har I m licd$d ondr prolisio ol
<br />rh. Busind ed Prol6sioB Codc, dd my li.as. i in full ldcc ed c,kr
<br />with S@iio. ?O0o) ofDvili
<br />-()
<br />I h.dty rfnm u& Fn.lry ofpdjlry i'.1 rt!E! i. r dlEwdd l6dnd
<br />iirud (S... !097, Civ, C.).
<br />APtlcaltT's DEcl,,/{x TloN
<br />Dadnion Pmiu-Arb6r6 Nodfiatio f.dad Rc8ul.rid (Tirlc rl0, Prt 6)_ R.quircd tan.. ofNorifi.do
<br />_l cd'y'drd dE alddrl Esrlred Etddins sbqr€
<br />-\Ziry riatth*.t.,]rir @lic{i@ .nd ne lnd @hply virh Ell City sd Counry
<br />ordinMc6 ed St!r. trws Elrif,g to buildir8 ttb Ciry 'ld Courry ro 6r.r upon rh.
<br />alovc oaddd Pt.Paty fa in r@lio !!r?d*+(-ol
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifler
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />Ma in Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />E\r.!
<br />Rough Plumbing
<br />Final Gas Test RFN -. t 2nrq
<br />Meter Release
<br />UAMU U-4J,zeu, t56, 0l i7
<br />FINAL
<br />Notes, Remarks, Etc.
<br />Misc
<br />Gas Service
<br />\IOR(XNS COMIENSATION DECLARATTON
<br />I hdcby .lfid udd F dlry ofFjury on. of d. aollowi.s d.chr.ri6s
<br />_l fiav. od will m.in6in a C.nifiqt ol Cotudt !o S.lalnlurc for wdk6' mmp.nsdion, 6 provid.d for by S.cton 1700 ol r[c
<br />Llbq Cod.. fd d. pcrfom&e of th. wmt for which drc p@n t i$ucd
<br />_l hav. d will hdDuin wqLs mpdrrtion insumc., c rcqutcd by S.clion 3700 of th. Labor cod., for $c p*fomucc of rhr
<br />wort for which thit lmit is iss!.d My wort6 coEpcnialion ini!@c. @i6 drd policy numb.r d.
<br />L.nd,r! A.lds', _
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