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PLUMBING.INSPECTOB RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS oIVNIR AUII-Df]R DELC RAT!()N
<br />I hcrchy,lfinn undcr lrnrlry,)f !.rjrry rhJr I an.rcnu,io rhc(in rrc!{s l-ic.n\c Itrw lir rhc l(,lh*[E rcr$i (S..]0.r15
<br />lJulirc\s i Pdas\i('n crdc) ny Cir, or Counrt shi.[ rcqutc\ I pcnni! k, connru.r. llrcr. nnrnnq dcftrli\lr or rcNn dirv
<br />(tu.rtrrc. niorn) irs i\$nmc. rho rcqntcs rho apfhc,d rrtr \!.h rcrn'ir k,6lc r \isncd \r(cnrnr rhir hc or shc h li.cnscd pxrurnl
<br />ro rhc [ovNnrN of rh. CDftrckr'\ l.iccn\cd l:w ((lrDr.i 9. Connn ncnrS \ irh S$ri(n 7(XX] ol Divisirr! I ol rhc Btr\iic\\ rnd
<br />r!t)li.nil({rt.nit\ohjcc(rh.npplicrnrrorcivil!.n0lry.fn.!nFi(.rhrtrfrchnDdarldollr\(!5(X))
<br />_1. .i owr of rhe popcrly. o ny cnploFcs wirt s!86 a rhcn hb oqEnerion, watl do dE wlt od tlt suud@ ir mr
<br />inlcfflcd or otrcrcd f6 sL (5€.7044. Busiftis snd kofcssions Codc -nE Contsrols Lic.m tas dcs mt .pl'ly ro o 6vM ot
<br />rhc nol.ny wno buildr or iq,mrcr lhsEn..d wh. dm Mh tr* hinslf or hercllor lhDugh hii or hcr own.mploy.cs,
<br />providrd rlut sch innmvwnk @ ml i.rdn d orof,cRd for $b It hos$ rh. t{ikiinS n an{,oeftnr is mU *nhn oN tBofenilelion.lrE OwM Buildcr vill hlr ilE hrkn orFlvin8 thd h. or sh. did mr t ild o irpnw dE FbrEiy for rhc no.F$ol
<br />_1. &s osn.r oalhc lmpcdt trh.r.luriEl, .onrering qirh lien*d conlradoF ro .onnrud rh. trcjcct (SR. ?044. Busims
<br />ad PDIissiM Codcr Thc Con'@ro, r Lic€nsc tie d@s nol ryply lo M owns of p.operly who bnilds .r improves thmn.dnd *ho .onrEcts for such lmjc.ls wirh ! Co.lrido(t li.ei*d pu&ufl k, rhc Co ncroai Lien* kw).
<br />-l
<br />em excmpl u.dd Setion_. B. & P.C. for lhis Esn
<br />WORI(EXS' COIIIDENSATION
<br />DEqI,IAAIOI
<br />I hcEby alltro und.r pcnalry ht psjlr, orc ot rtc aollowin8 del0r.rions:
<br />I hrlc rrtwill rinrri', r C.' tilicr[ ol'C.Nc l,' S.ll] lrFUrc li)i \r|kd! (ontrNdidr, !\ prvidcd lar by Sd.rion lT(x) of rlr
<br />l- Ntr (ixtc. f{trrhc p.rionnrNc.lrlN lork li'r trh(hth. ptnnir '\ ir\udl
<br />_l huec atrd will nri ain workcn corm.nsnri.n insuBncr. !s eqlirct hy Sccr im 37OO of thc Lab.r Codc. for rhc lcrfomncc ol
<br />ihc work forsfiichlhh I'ermi is My wo.kcn co,nn n\rrn,n in\lrlncc cxtric. lnd F,lic) nun'hcrm:
<br />/,
<br />-l
<br />ccnifr lhar in lhc ldlor@n.c o, th. wo {or ehich thh p.rmi is nsucd. l shnll mr employ stry ptmn in trn, m.nn$$ N '. bc.ort sltr€t lo lhc *0*6' m,rF.hlion kws of clliromi.. ,nd rE@ $al if I sholld tccotu sul,irt ro rhc
<br />worLcr' ompciqrion pmvtions of SNrion l?m of rh. tibor C.d.. t slEll. t nhwnh @noly *irh lho* nbvhionr..
<br />ciril fnc\ up r) onc hnnnr.d rh.u\rnd dollrn tSI(x),(Xx,),ln &lJiri{nr t, rhr con olconlP.nsrrn,n.lrnrl'3r\ r\ pi(nn[.] ior rhc
<br />s.rrnni 1r)76olrhctrhtr(ft1.,i' crc( nnd IronEy'\ tcc\I 1q / ZL n-,**,,kl/t(LtftNstrrcoltnrcurt
<br />IITS.AEAIIOA
<br />I hcrcby nflirm und$ p..rxrofp$jury rhtrr I lnr lienst undcr lrovhion olChoptcr 9 (comnEncins *nh sccriotr 7(xD) ofDirisn[ -1
<br />Iltr\ .\\rnJ l,',nr\i.,\(i ..x(?u1 (fi ae
<br />coNualcIaN-L[NDIN(iili]:Nsr
<br />I hcrhy alllrm und(r pctrrlry ol!.rjurythd rlrrc is,.oniru.ri{,i kndins aEcncy rorrhc pc.torroncc olrh. work lor {hi.h rhh pcrmir i(
<br />irs'.d (Scc 109r, Civ C.)
<br />ASTLIIANLII&JIIXAIII}!
<br />I lhl,, aliinn hncr pctrlhr olFrjury onc oitlr r.llowinS dc.ldhrilns
<br />DcnDlirion Pcnnils Ashcsto* Noritl.lri Fcdcrdl R.sxlsrion\ (Tirlc 40. PunO
<br />Rcquncd klcr n, Norifi erion
<br />_l ccnify rhor rlE fcd.rll EBuhtions rcg{ in8 .sb.ros r.nrv{l sc nor appli.ahk b this rDj.rr
<br />Lyaarh au ciryand colnry
<br />y and Counr, ro cnr( upor rh.
<br />tt-
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />lvlain Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release I ,l
<br />FINAL t l1 u DfhrYlz Lfi'57
<br />Notes Remarks, Etc.tr
<br />(
<br />L l t-/za
<br />Pool Heater/Gas Line
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