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PLUMBING.INSPECTOR RECORD
<br />APPROVALS lD/srG.COMMENTS Ow.q-A!ilda Delr.!d
<br />I hftly .flim wd.r pcr.lry of pdiur, $.r I en q@pt tm $. CoEEtd!' Li@s Lrw 16 $c followira r..ro (ra 70! t 5 BuinBs
<br />ad !.of6io Cod.) Any CiE d C6ry whid EquiE r p6hn lo con sucr.ltc , intrcvq d.molnn s rcr.t oy rEuctr., prid ro its
<br />iss@@, alto r.quir6 li. $!lic{t tctuct Fmit to lilc. si8r.d rilrmr dlr h. or sh. i5li@.d plBuur to $. FovirioN ofthc
<br />ConEelo'.s Lic4.! t (Cl'!pt6q Cdrlnacii8 with serion 7000 ofDrrio, ofth.BBin4 ed Prcfdinr Cod!) orlh hcd
<br />sh. is cx.mF $@fron ud th. b$i! fa 0E dl.s.d amBi6 Any viohdm of Sdrid 7031 5 by Dy applicmt ld t p@n slbj6rs d.
<br />lppli@i 10 3 civil Fndty of ict nol! 0'&l fivc hu&!d dour! (SJ00)
<br />_1, a ovnd oa lh. Fo!.ny, tr my aployG wlln wa36 a lfi.t lolc cmp.rua1io, will do rh. worr md Oc anlcr@ i3 not inicnd.d
<br />or olfa.d id idc ( S@ ?04!, ABi.a. &d Prcf63iw Cod. Th. Ci.r&!o'i Liqr. L.w do6 not rpply b e owncr offi. prop.n,
<br />who buil& d improv6 lh.@n, 6d who .loc ,uch 8qt hiB.lf d h@lf d thrcldr hi3 d hd M mrloy6, Fovi&d thll slch
<br />imprc!@al! e .o1inbd.d d ofic.d for r.l! l( how.vd,|h. brildi.g d impromdt is sold wnhin o!. yd ol.ompl.do., rhc
<br />om{'Builda will h.vc thc burd., ol provinS $rl hc q sh. ior blild or improv. for dr lurporq of s.k)
<br />_1, s oMd of rh. proFty. a .rcluivcly db..rinA wirh li@t.d @rctd! l,o c$rrlcl rhc pbj.d ( Se. ?04.r, BBioBs odPrcf6io Cod! Tll!CoEsor'rLic4ct,dBnorlrplyrouwnEofpropdty,hobuild!dimprcvEth6.o.sdeho
<br />mrrucL for ruch projaa w . corerd(r) li@r.d p@u6r to rhc cdn!.ldt u6E l,w )
<br />_l D .x.npi u&t S4rio
<br />-B
<br />A r C for 6is @d
<br />WORI(ERS COMPENSATION DECLAI{ATION
<br />I huoby aflim udd p6dty orp.rju.y oc oft. follqir8 d.cl&addll
<br />_l tuvc ud will n.iMi. . C.flifior. of ce6l lo Sllf-ldurc fd wdtd, .dpei!t6. 6 prcvid.d for by S@do, !700 of$.
<br />Lab.t codc, for $c pcdcrmue ot $. -o* for qhich th. pc.nn i, isued.
<br />_l h.v. ad willmifi.i! {dtd @mFur!6 iElme. a rluir.d by s..rion 1700 of th. Llbu Cod., for $c pcrfom6e oa $!
<br />wo* fd whiclt dti. pdnn i! ieucd. My w*td' .6rqsxio inllea 6i6 Md policy ruhh.r e
<br />(fiis !@ti6 ncd nol bc @nda.d ii th. Fril t ad Otr. hundrcd dolbE ll t 0ol s 16,
<br />,2*v^,*i,d'n ir rhc pafme@ of 1h. wdr ad which rii! pcmn is is!c4 I lhall ior
<br />ar b th! worl6 ' cmpctu id l!$ of C.lifmia dl8@ddifI
<br />comp.nsrtion proviioni of 3700 of 6. L.bn Cod., I rhdl. ffihvid
<br />WAnNING: i.ile lo kc! *st6' .ooFu.ria @vc6g. i3
<br />fin6 !p ro 6. hb&!d tl,ored d.{lE (tloo,00o).ii ..tdnid lo $. cdr of cmF!.rior ddnrg6 s provid.d fo $. ScdiM 1076 or
<br />th. tllq Cadc, int rqr 6d rlro .f 't fG.
<br />LICENSf, D CONTRACTORS DACLARATION
<br />I t@by .ffim udd p6.h, orFjsr, $.1 I 6 [c4a oda F"vnf @, Ch+!6 ,
<br />rhc Bcinq Dd PDfoiN Cod., ed ny li.ae i! itr fdl foe ud .frc(
<br />I h.r.by .iIiD unda parlty of prju.y ttat tse is a @nmrcdd lddiiS atacy fd $G Fdme@ of lh. wort for *hich 0'h p.mn is
<br />i$u.d(Sc 1097.Civ C.)
<br />AI?LICANT'S DE]CLAf, .ATION
<br />Donolirid P.rmir-Albaro. Notifi.diod Fc<tr.l ilsdai@ (Tide 40. Pm O_ R.quird L.n6 ofNoiifo.do
<br />-Ar^*th. fcd.rd E8!ld@ cSaditrs sbqt* r.mov.l
<br />I h.vc Ead thh spplicsid Bd .l!r.to 6hply w$ .ll Cty ud couniyordi.ec od sl!r. hwr Et.riD8 to buildina Cny md Couity to 6rd upoi 0E
<br />abov. m€nrio.d prcpny f6 irlpcctio purpcd
<br />f-o,/
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />Interceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipi
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Dra in/Pool Piping
<br />Fill Line/Back Flow
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbi ng ts,XPIKt u
<br />Final Gas Test t )nto
<br />Meter Release rtrD
<br />,MC 8-43, 290,556,667
<br />FINAL
<br />Notes, Remarks, Etc.
<br />DATE
<br />Pool Heater/Gas Line
<br />Si
<br />D{t : Oud
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