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PLUMBING.INSPECTOR RECORD <br />COMMENTSDATEtD/stG.APPROVALS <br />UNDER GROUND <br />Waste & Vent <br />Gas-Underfloor <br />Buildin Sewer <br />Area/Storm Drain <br />lnterce tor/ Clarilier <br />TOP OUT <br />l z)Waste & Vent <br />Gas Pi i <br />Roof Drain <br />Tub/Shower Test <br />Rou h Water Heater <br />POOL/SPA <br />P-tra Drain Line <br />Main Drain/Pool Pi in <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Miscellaneous <br />as Service <br />Water Service <br />Lawn S nkler <br />Sanita Sewer/C <br />ack Flow Device <br />Rou h Plumbin <br />Final Gas Test <br />Meler Release <br />I 2dFINAL <br />Notes, Remarks Etc <br />()lu\tiR B(rr.DER Dllt-cAR,\l'I(,N <br />Ih.rchynlt]flnUddP$oll],o.pcrjxrylhlllctnlflInnnlhcc.nlrncinrt-iccnsclawfotlh.iollo$ill!i.o$n(scc7().]15 <br />Busi',c\s , P(nc*iqr C,xl.) Any Ciry or Counry *[i.h rcquns I Ernril h ..iiruct. nlrcr' i lorc. dcmnilh I q\'ir ]n] <br />{ru.rurc. rior k, irs isurDcc. llyr rcqutcs rh. {Pli.r tur nEh Fnnir (, fihr rilncn id( ttrr rh ltot sh' is liccn{d Porsu r <br />t,rh.B,visi().\ortlrCootrrcxr'\l-i.cn*dLiw(Chrlrcrg.Connnc&inEsirhSccli{rn?(Xnoll)ivi\ionltfrlr|naims!rid <br />Protsn,n\Codcrorrh.lh.or\hctcxcnrlhsctorrtrdrh-hn\tidrhcrllc8cd.(UrnAovvioltrrionofsecli''?0ll'5bvinv <br />arplicr nJr. ncnnn \uhj(G rlr anpliclnrt, E.rvilrcnnllyornor nucrlnrn nrr hundlcdnolht\ is5u)) <br />l.!sosncrurrhclr'f.ny.ornrycn{'loyccx*irhsn-q8d\rltir{,lcc. rlrr\rrioo-sillrlorh.*1trk {rh'$rrcrurci\nd <br />irrcrdcd doicrcd irtr;lc r4...7oi1. B;dms\ rnd Pnttssiff Codc: lhc G)nrr{ktr \ Li.cnsc l-aN rlocs n'1olPlr ro dn ouNr or <br />rhc pmticny *ho htrilds or inl|nors rhdrl$n, d$hod,f,\nrhtr({thi,n\clforhciscliotrhfl'oghhiso'hcrowncolployc's' <br />p."il"l rrr,,r ",.r, irntnk'ftnr\ rc .or idcnddld llatord lirr 9h ll howcwr. rhc huiklir8 or in{ovc'L-nr iss'[l*irhi'ro c )rir <br />;I..trrl)l.ri,,n, rlrOuncr Bui&r qill hlvc ri. hdrdcn ofPtuviq rlur lt rr dr dil no! hild or iDnmrr rhc pnrFdv <br />'or <br />rlt purlr* of <br />L a( oqftr oi rlN pn,Fny. m ciclusirlr conkd.rirr8 silh li(nqi .onrrrcbn tr .un(nt llE P(u"r(Sec 7()T Bu\i"'* <br />&l PrDt$.inCo cr <br />rl hc (ontrrkr's L(.nsc l;rw do.\ nor .|Ply ro rn osncr IPflrncriythdbuild\orinFtuucrlh'rcor <br />r who conr!.c r(n $.h tnojr..h wnh a C.turd.( c) liccn{d ntr\urnr lorhc( r'nrncrois l,iccn{ uar' <br />I am cxcmpr un,tcr Sc(r <br />lll8trEtlflaMl[NiAuql <br />IIECI.ASAIIO! <br />I h..cbr sfl irnundclE.ahrof ltrjuryonc otlhc folb*ing dslururioi\: <br />I h!v. ,id will nuinhin ! C.nifrllc of Con\cir b s.lr' ln\ure n, rvurkcs onrp.nqrion. os Imvidcd ii'r bt Sccrn'' 17u) or I h' <br />litnr Codc. lor rhc p.rlomtuc of ihe mrl for *hkh lh. pqnl G nsucd <br />,rr" *.f snd s ill tuinr.in sorlcs .onFnrll ion insunmc. !r rcqrircd b, Sd! k n l)m of th. tibot cI,&. fir rhc Fcrfomftc of <br />tNhich rhis p.mir is issed. M y sortqs coqEns,tiotr itrsura.cc .amc <br />zS <br />'to <br />-l <br />c.rlify lhal in $c ncrlommc of rlt sork for which lhis ,..ni is nsucd. I .hall nol .mPtov {nv pcMr in anv nmRr <br />; N ro t;m s!hi!.r ro thc q"r6c onqEnglion t wi of cilironi'! dd '8re rlur ir I th'uld bc'otu flbjet ro rlE <br />m s'@npcnsaiioittDvirLnrofssdonl?0OoflhcrlborCod..lrlEll.forlhsilhonl,lv*nhlt.slmvicbN" <br />WARNINC: Faihrc r) $curc snrkcn coqf,nslion coeBgc is nnhvfll. md shaLll slhh.r an cmphylr lo oiniMl IcMlris anrl <br />ol conqxnsori.n. dlmg.s .s rovaad for !h. <br />IICTABAIION <br />!,finnund.rr.nrllyotpc,jrryrharlimlftnrdundfF)visnnrolChrPrse(conrnEn'in8$ithSccrionT0m)'fDivi\nrn:l <br />Businc$nnd Porrr\iotrsCode. and ny li..n$ n in tullnn . snd cliecl. <br />c3L <br />CON}I8UII&N.LENDINCAGIN1;I <br />l hcrcby lffinUnddr pcnlIly oil)crjdry lh,l lhcrc h l.on{rullilli htrdin3 a!.ncy fol lhc lcli.nfulkc ol lhc $ork.ol wnichlhis l.rmil is <br />isD.d (s(..10r)?.ci! c ). <br />Lrnd4's AddEs: <br />ASLLEANLIEII.ABAIIO! <br />I lsdry,fim undcr Fnalty ot rrjury om of rlE follo*in! d(lurutio.r: <br />Dc,mh ion P6on*-Asb.sros Nolifictrion Fcncral Reslb'i.ns lTnb .1{). Pan6) <br />-Requtcd <br />llncr of ftutiaKd io. <br />-l <br />ccnifylhir lhc fcd.ml (8ulslions Eesdin8 ushcsbs gm!,lnm ml aPpli.,hl.io lhh rmjccr <br />lkriion and shlc th rh. 0bvc iflttrndiotr is cotul t !8N lo .omllv wilh sll Cily and Counrv <br />odinrnccl ard sr.t. h$s <br />rb.\r mnlioncd pn,Fnt <br />blildinscoosnrion.,ndficrcbyurhorizcrcPresentdiwsofthisCilvn.dCounlvloc.r.rup.nlh. <br />Pcmil@ name I prlno (\i nrr- <br />L 40 <br />I <br />g <br />1 11r-q-!o\4 (n L5 <br />Water-Under floor <br />Dkt{)at-)4 r.7 <br />Water Pipinq <br />I <br />DNaA #811 <br />I U