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PLUMBING-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS O{nd-Buildd Deld.ion
<br />I h(.by .fllm undcr p.nrlry oapqju.y ltd I M q@ fm tn. Cotrr.rs'Lic6sc Li* for $. folloving rcaro (s* ?01L5 Buin6!
<br />6d P,of6i6 Cod.): Any Ciry d c@ry whid tlquiG . p.mil to sEuc! dtd, imFDv!, d.molish d Bplr a, rlrudu.., prior lo i'5
<br />i$udcc, als r.qliB rh. appli@r for such Ffril lo fil. ! iig&d .t!!oar Olr h. tr rh. ir li@&d psuor b fi. provilios oa rn.
<br />Cdr&1d! Li@3ed kv (Ch.ptd q C@mqdn3 oi$ Selion ,00o of Dviri@ , of th! BGin6 .rd PrcfdioN Codc) tr rh.i h. or
<br />3h. is dnE l.n*froh ud 6c bai! fa t..ll.s.d.rmpd6.Any violdi@ of Serion 7031 t by oy .lpli8r 16. p.mir iubjrcLr $.
<br />lpp,icsr io . civil Falty of id mor. $d fiv. hui<lcd dolld (1500)
<br />_1, s own.r 01ln. Fop6ry, or dy dployG *irh *.96 a th.n soL @mFsarim, eill do $c wo ed 6. nDct@ is ior int..d.d
<br />or offq.d fa s.lc ( S* 7044, BGind 6d Prcf6ri6 Cod. Ttc Cdr.scro s Licdrc Lr* dB nor,pply ro a oMo oflh. propcn,
<br />*ho buil.L! or ioFov6 lllalon, 6d who do6 luch work hinsrlf s h@clf d though hit d h.r ovn cmploy6, provid.d th.l ruch
<br />improvmatr e not inr6&d d ofia.d for sal.. l( ho*.E, rhc building 6 ihFov.ncit h sold ei$in oic ycd of conplaio, rhc
<br />OMd'Buildr *ill h.!. rhc burdd of p,ovios th.r hc or shc not build 6 inp.ovc for dtc puac. of s.l.)
<br />_1, a oMq of th? prcFny. m .xclsivlly @m.dn8 *id li.onr.d co$..toE ro cdslrud fie prcJ.d ( 5!c ?oaa, BBin6 od
<br />Prof6i@ Cod.: Ah. Co.r.dd! Li@& llw d6 nor a,ply ro { ow.6 of prcr.riy wto blild5 r inFove $.@. , ud sho
<br />coi!-&t for ruch projccr {ilh . c@r.&ld(t ltolcd p''l!@t to th. c@l'r4o/. Li@s L!w.)
<br />_l u cxmpi ud.r Scclid B &PC a* tl sraon
<br />!q8r!B!lO!AE!6IIA!-p!C!daAI!Q!
<br />I hftby .flim urdd p6.lty ol pdjury @ of ltc foll@inB dEly.itr:
<br />_l h.v. ed eill miit in. Cadfr.d. of coler io s.lf-Ii.@ fo wdtd'c6pc.3,li@, a Fovid.d ld by S.ltio ,700 of $c
<br />kborCod., f6$G psfroeolthcwdtfcwhidth.Fmitirit .d.
<br />_lhercadwillmai lin qaL6' @mpos.ri6 ir!1m€. a r.quir.d by Scli@ 3700 of lh. kbo Cod.. fq dic pcdol'ue or$c
<br />wod( ld which lti! p.,hi ir i$ucd. My *0rl(6r' compcrmi@ iduMc! csid 4d policy nunb.r &c
<br />lolicy N6tc AxliB:
<br />{*^.,,&*-it*ro
<br />nol b. Mplct i if 0'. Fmn ii fo. Or. huidrcd dous {t100) d lB,
<br />0'. pqfo|lM@ of t. wdt fd whicn 6i! pmn k i$ad I shall ior
<br />l.wr of Cdilmia dd arE tb if I
<br />3 kbd Cod., I sh.ll, foihwnh
<br />, d.m.A6 d Fovidd ftr fi. s4riM 1076 of
<br />l_lcENstiD colltt,\( I()Rs Du('t aR.\ t ()N
<br />I h.,cby amm undcr p.nalty of pqjury thrr I @ li@3.d !nd.r provision of Cnipb 9
<br />th. BEin@ ed Prcfci@ Cod.. ed o,
<br />I h.Eby rflim rdd D.n.lty of thll lhd is r dstruclion i c. ot $c volt fn wlich $i! p.mn i!
<br />is!.d(S.c ]0e7, Civ C)
<br />A}ILICANT'S DECLAR TION
<br />D.molitid !mi!-/$h.rio! Notjfiori@ I.d6.l R.gulri@ (Tid. .0. Pat 6)
<br />_ Rcquir.d Latr ofNotificnion
<br />_l edi yrl t '. fcd.6l Esuhd@ irordin8
<br />-rdry
<br />*r, n-" * *'r.ppliclid ud aBrcc io conply pith all Cny and Coury
<br />ordin c ud Srd. L.B Elding ro buildin8
<br />abovc malid.d pmp.ny fd insF.riq
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Undemoor
<br />Gas-underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />Interceptor/ 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-trap/Drain Line
<br />Main Drain/Pool Piping
<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 E'iH'I \E'J
<br />I ,nlo
<br />F E.t' -
<br />SAMC 6-43, 2 )0, 556, 667
<br />Notes, Remarks, Etc.
<br />APPROVALS
<br />Fill Line/Back Flow
<br />Final Gas Test
<br />Meter Release
<br />FINAL
<br />doll6 (ll00,OO0),ii dditior
<br />lFda! .^ddlr' _
<br />----r----
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