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PLUMBING{NSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Underfloor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipeing <br />Tub/Shower Test <br />Rough 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/Cap <br />Back Flow Device <br />Rough Plumbing Eiil/II (grJ <br />ETD t r/!,!0 <br />Meter Release <br />SAMC 843,290.556.6€7 <br />Notes, Remarks, Etc. <br />Ohe.Buald6 D!.l.trtioi <br />I h@by .flio udq padty of Frju., lhrl I D dopt fm lnc C6uictor!' Licas. L.w fd l|l. followi.8 Bon (se.70l L 86i.6 <br />od PrclBion Cod.): Aiy Ciry d Courty ehich rcquiB . p.nnit ro .dst.!ct, .lrd. iopros, danoliih or rpli any irlctuft. ?ritr ro ir, <br />i$@c., alk r.quiG llr +pli.!nr for $ch pcfrn b filc ! ri8n.n n.l.rn@l dtl h. d rh. ir lica&d puE!{r to rt. poviiic of t! <br />Coil'&to.t Laca$d L.v (Ch.pt . 9. ColtliMcii8 eiO S..tioi ?000 of Urilio r ol $. ANi.6 ed Prcldids Cod.) or lhar h. s <br />rh. ii .xmpt lh@frcm Dd lh. bair f6 $. .lh8.d Gxoptio .A.y viol.rion of Serion ,0! I 5 by ay applioit fd . pmn subj.ds rhc <br />appliur io r civil !.ralry of id lj@ te fivc he&.d dolla (1500). <br />_1, 6 ownq of $. propsty, tr oy mployE eid vr86 a rh.ir sol. cmFtu.riM, vill do th. wod( ed 0'c snucte is nor incndcd <br />or ofid.d ad Ea!. ( Se.704a, Bqi.6 dd Prcf6i@ Co<hr Tl. Conrr&lot Li6r. k* do6 ,or .pply lo e oM.r of $c p.op.ny <br />eho builtb or impro!6 ti.16. ed who dG such vorl himclf q h@lf B thmuSh htu 6 ir own 6ploy?6, Fovi&d $.t such <br />inprovndl3 e nol i.lorkd or ofiacd for rd!. If. how.v6, lh. blildiog d improv@ot i! sold within o.. y@ of .epl.Joi. th. <br />Osa-Build.. will h.vc rh. blrda ot provin, lha1 h. or !h. nor buil.l or iiprcv. for $. purpsc or r.k) <br />_1, a oMa of da prcFry, s dclsivcly mFulina with licos.d colr&roE to constDct tnc projcd ( S.c 7044, B6inc$ tud <br />Proasio Codcr Tic Co n lois Li6sc L.q dc nor tpp'y ro& oen6 of propary who buitds s idFov6 tndon, ud who <br />@.F&E ror such prcjdE with i co$!.to(, li@ed puGusr to $. Cor!.ror's U@* ke ) <br />_l m cxoF uda Scd@ <br />-E <br />,t P c rq lnii r.ron <br />lartrlls-colarEsauoa.pEcldaAllaN <br />I h@by 5fiim !nrL. Fnalty of pqjlry @. of lhc foll@ir8 &cl.miNl <br />_l havc ed will osinlaio I Cdific{. ot Consql ro S.lflNuB lor *qk6' Mp.Nation, E provid.d fo by S.clioi 1700 ol rhc <br />Lalor codc, id rhc ,sfmec! of $c wo* fm which th? Fnn is isucd. <br />_l h,r. od will tulntain *dkd' @npdsadoi in5ume. s r.quncd by Scclion ! 700 of th. Labor Codc, for fi. p.riomdc. of rhc <br />wod( ld which nhh Dffin is isucd M, wd*qi'.ohpcNllid insutu@ 6id Md Dolicy nuhb., d <br />Policy Nmba: BxtiB <br />(1Xi5 setiol nEd iot bc @pla.d il th. p6rn n f6 oi. n6&Gd doll6 ll l0ol r l*) <br />An^nF*.6i*rr"Lhc FfomMc. of <br />'n. <br />wot lor vnich rhk Pcmn is issu.d, I sh <br />comp..!.rion provisionr of <br />dr - dployd ro 6ini.rl FEhi6 dd civil <br />da.g6 a Fovid.d ld rn. Sdion 10?6 of <br />th. kbq Cod., inr.Er od !rlm?'s f!6 <br />LICENSED CONTRAClORS Df CLARATION <br />I h6.by amm oidf Pcmlry of pajury $!l I e lic6u.d undr prcvisid of Chllrs 9 ( <br />rh. Busin6s d Prot6sions Cod.. ud ii in foll fdc. ed lffer. <br />ury $ar rh@ i. ! @nrr'lctiq llnding agary f6 thc pcrf@ec. of 6c wolk fo. qhich rhi! p.mn i5 <br />. Civ. C.). <br />APPLICANT'S DECLAN fl ON <br />Ddolidon Pmi6,A!b6t6 Norifc.dd F.d.rrl Rcgqldi@ Onk /O. Psr 5) <br />_ R.quir.il r,rEr of Nodncrlio{t <br />locomply wit ollCily md Counly <br />trdineG ud St rc L!w! rcinin8 to <br />.bov. 'Mrimcd pDFny fa iBIEtio G <br />Roof Drain <br />Final Gas Test <br />FINAL <br />L.ndst AddrBt <br />I <br />I <br />= <br />= <br />I <br />=