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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Underfloor <br />Gas-Underfloor <br />Buildi Sewer <br />Area/Storm Drain <br />TOP OUT <br />Waste & Vent <br />Water Piplng <br />Gas Pipeing <br />Roof Drain <br />Tub/Shower Test <br />Rou h Water Heater <br />POOUSPA <br />P-trap/Drain Line <br />Main Drain/Pool Pipin <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Misc <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Ca p <br />Back Flow Device <br />PI <br />Rough Plumbin s <br />Final Gas Test <br />Meter Release <br />FINAL <br />Notes, Remarks, Etc. <br />O$d.Buildq Dehr on <br />I hfrby tfiim und6 p6.lty of pdjEy lnd I e dmpr fffi rtc C@E-t .i' Ucae tr* tn lhc folrowin! @o (rB 7ol I 5 Buin6 <br />Dd Prcfcio C.d.} Any City 6 Cont, rhi.h rcqli6 . Fnn b .onn !.i, ali', inFov., d@otiih or rcpsn dy srru.ru.., ptrior ro in <br />i$@@,.15o quia rh. lfplidt rd luch pdmir lo fit.. Ei8lcd slaiddr lhalh. or ihc i! ticor.d puB!;! b di. provilidr of t. <br />Cont!.1dt Licm.<l r& (Ct.prn 9, Ctuacin8 yirt Scdion ToOO of Dyiri@ I of rb. Bcitrs ed profsid. C.d.) or d.l hc d <br />rhc ir anF fiqr.frlm.nd 6. b8i. fa rh..ll.scd dnpdon.Aiy vioti!6 of Seri@ ?o3t 5 by dy applicenr fa i p.mil slbj*E $c.pplist io . civil Frlry ol Dd tl@ th& fie. hundrcd doll4 (t5oo) <br />_1, a own- of 0E ForHy, or ny @dor€ qrh q.t6 s $.n iob @npde,ri6, willdo dt. vort sd rhc arDcre is nol incndcd- onaql fa ..1. ( Se 7s.. Buin6 sd Prcf6rm Cod.: ,1. Conr&rd,. Li6r Lw dc not aprly ro e Ms of th. FoFnywho buildr d ihFo6 rlcrloli. lnd wto dG suct wo* hiretf d hmlf a 6eS, his c hn own .nploy6, Fo!i.l.d dlrr iuchimprcvctM6 E nor iiro.Ld d olrdd fd i.tc ri h@.iq,lh. britdins n imp.dllMt it iol.r*ithin'on; y;of @mpt.:rion, th. <br />Owna'Buildd will h!v. dE bud.n of t oviis tnar h. d .hc nor buitd n imp.ov. fd ti. p!rp6. of sl.) <br />_1, c M6 drl. prcpqrr, e dclcircty @nrr.rint witt lian..d .@Esrod ro (esuc lhc pojel ( Sq. 7oa.a, Bui.s odPEacion Co<lc TI. ConE cry'! L'c6e Lr d6 id rppty ro u oM6 of prop€ry *ro buil& ; i;r.ov6 th@. , ud whooF&t' ro ruct projet3 *irh r Co[l.rd(, lica!.n puller lo $c cdr,!dor', U6c l,w ). <br />_l d ddpr und.. Scrio _8. & i C for r.his r.nlof, <br />WORKENS COMPENSATION DECLAXATION <br />I hdcby a,fim unda Fnalry orpdj!,y @c of lh. totlowins dcl@ri@ <br />I hv. od willmintijn aC.nific5l. ofcoenr to S.tttrouc for work6,@hp.ns ion,s provid?d fo by Scclion l?Oo ofthc <br />Labor co&, for thc pcfmeq of thc wort fd whicn lhc p6nn is issucd <br />_l n& ed will md rin *dt6' mp.6 ion inr@c.. s r.quircd by S€tion 37oo of $. Labor Cod.. aor rhc p.r{oms.. or rn.wort fo which rhir p@n is ii3u.d. My wortd codp.re{on iniur c. dia &d potiqy rumb.r dc <br />Policy Nwbd_ <br />.#--d'ffi'ffi;l* Onc huid..d dolla lll0ol <br />which $is pmnis iss!.d, I shall <br />ofCalilomia, rnd isrc. dd ifl <br />offi. Labq Codc, I shall. fonhwilh <br />WARNING Fiilrc lo rcqw,qt6, comFns.rio <br />fin6 up lo on. lundrcd lnNxd dott6 (t I oo,ooo),ii <br />lh. L.bor Cod., i.r6d ed rnmry t 16 <br />dd 3hdll rubjet ni hployd ro qimi..l <br />c6r of cmFn.dio. dlnagd s prcvidcd fr thc Serid <br />LIC ENSED CONTRA( TO RS DF,C I -A RAI ION <br />lh. BusiDd ud Prcf6i@ Cod.. ed my lic4c is h futt f@ e.r.[.cr <br />p.idty of Fjury nlla lh@ i! . c@n!c!io lcDding ih. wot lor qhich dis p. it i5issud(S.c 1097. Civ C.) <br />APPLICA]VI'S Df, CL RATION <br />Dqnolnioi Pmit ,Asb61o! Nodfc.d6 F.ttad R.tut.rioo Onh ao. p.n O_ R.qun.d L.ra of Norifc.don <br />$ovc mdrid.<l pro?dy cnt <br />EEiE <br />lnterceptor/ Clarifier <br />Gas Service <br />ED <br />I lhc f.d.rrl ES{l.doM rcIsdin8 sb.36 <br />thr I ht!. rcd ltk eplicdio ed n rc 0!.1 <br />t <br />=