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PLUMBING-INSPECTOR RECORD
<br />DATE tD/stG.COMMENTS o,nq-Buildd Dcl.r.ri@
<br />I heby .fl16 @dd Fn.lry of Fj!.y ln.t I e q F f@ 6. C6E&1@' Li.d. ltw ld rh. aollowiq ta6 Gd.7o, LJ BBindi
<br />3d Prcfdifi Cod.): Any City or Coury which ,lquiB r Fmir to c@rEc! dra, impi@, ddnoli.h 6 r.Fir u, .Euc1@, pri6 ro ir,
<br />i!!@e, slrc r.qriB rhc lppli@r fd sch p6mn lo fdc t!is!.d nltoMr rh.t h. G ![q ii lics'r.d Fnu$r lo $. p.oeLinr ofdr
<br />c6rn id! Lim.d t q (ch4r6 9, cdmacin| pirh Sc.ti6,o0o of Uvili@ 3 of dt. Asin@.ftlPtufarial' Code) G lh.r h. d
<br />ih. i! cxdE thfrtm md lh. b8l fd th. .ll.t d ddFi6 .Any yiol6i6 of S..lio 701 L by dy .pplicar ld . Fmil lubjcct ltc
<br />8pplisr ro E civil p.rdty of no( FG tha! lic t@d!d &llu (1J00)
<br />_1, $ ownd of th. Fqrty, d trt @doya rilh *.€6 a t Eir rol..mFn!.tid, *ill do O. eort ed rh. tude ir not inrcn<Ld
<br />c o,tr.d a6 !d. ( S!c.7o/l/r, Buir6l Dd Pbfand Cod.: The CdE-t6'3 Licd. L* &6 not .@ly ro a M6 of 6c prcp.n,
<br />pho buildt d inrFoE dtffi, ed who do6 rwh wdt hiBlf d haclf 6 6Msh ni! a h6 om @ploy.d, Fwdod $r ruch
<br />i6Frcvd6a @ n t inlad.d 6of@d f6!dc. r, ho*ffi, tll blildins q inpolltmr i! hld eid n d. y.u ol @phd6, d.
<br />Ownd-Blildd will h!v. rh. burd.n ol prcviDg thr h. c rh. nor build 6 ihtrlv. for rhc purro$ of 3alc)
<br />_r, ! omB of rn F!9.ny, m .xduiEly @lr*rina ei$ li@d @tuB ro onrl'ud lh. pojdl ( Sd ,ora. Buiis! ud
<br />Pmfdi@ Cod.: TIE Cdtr.ld'! Licc.r. k* do€ noi .!pl, ro e 6mr of Fopcny who buil.b d ifrprov6 th.lM , ed who
<br />.dt*E fd $ch Ploict' *irh ! Cdr*lo(, lim.d p6usl ro th. c6!r.1oi! Lica3. Llw )
<br />_I m .x@F uda S@ri6
<br />yaBlEE8salaBEarariDEcl EdMx
<br />I hftry fi6 u..Lr padty of psjury on. of d!. foldinSd..ldjB:
<br />_l h.E ed will minl.in. Carifiolc of col6t lo Sdllalw far@ld c6F.!rlim, a FDvid.d fc by S6lid r7oo oftn.
<br />Labd Cod!, for $. p€fmc. or $. qort f@ shich rh. p6nn it isu.d
<br />f_l h.v. Md will minbn wdtd' @mpa!.iim iu!rue, s EquiEd 6y Sslion 3700 of d* tltd Cod., fo lhc p..{o,lecc of lh.
<br />w.rt for which $i! pdit ir isu.d. My wortd' cmpdaie inllme 6ia &d policy ilmb€ e:
<br />Cmc.
<br />(I r !6ri@ a4d lor b. codpl.i.d ifrh. Fnir i, fo. On. hurdld dolla {l100) !.l4)
<br />_I c.nify lh.r in tt Ffffie of 6. e6t f6 whid 6i! Fnit ir isq.4Itndl Dot oplq.!y Fh in syn rds s lob.6. rlbjcd lo $. {oltd ' .dnFB.ri6 l.w! of Cdifmia ad rsE thlt if I 3t@ld b.corr! tsbj.d to O. yo*c6'
<br />@opa.!dd prct.iN of Seri@ 3700 of lh. L.ba Cod., I
<br />)--oK
<br />WAf,NING: FdlE [o !..uE so*d cnp.n!.lid cov.Eg. i, unl.wful,
<br />6n4 up lo on. nundr.d fiotjsd rtollE (S 100,000),h .ddnion lo lhc cdt of
<br />dr. Labd Cod., in@t ed .lr6.y'i fa
<br />er 6 dployd ro oimin l p6.ldB md civil
<br />dd.g6 a provid.d fo 6. s*tid 1076 of
<br />LICENSED CONTRACIoRS DiCITXATIO!{
<br />I hftby aftim ddd parlr, of Fjury th.r I 6 licdd 6.Lr p(ovi3i6 o{ Ctlptd 9 (cmacirs wirt Sdio. 7000) ol Divirio 3 ot
<br />dE Bulin$ sd PrcfdioB Codc, &d dy limlc it in full fdc 6d cft cr
<br />cnt6-
<br />t ho$,.fEm urd.r Fndt, of prjuy li.l 6@ i3. ccturio l.r'di!s !g6cy fa O. Fforn6.e ot6. edt tr*l .t dit Fmir i!
<br />tu!.d (S.c. 3097, Civ. C).
<br />6I8UC4NL1DEC!4IdU0N
<br />Ddolitioi Pmir5-Albqt6 Not'iicaim Ld6al R.8llrtiN (Tnk 40, Pd 6)
<br />_ R.qun.d L.nd of Notificdon
<br />_l ccdfy rhd $c &d.61 rc8lla oi! G8adiis abd6 rcmovrl u. nor applicabl. b di! FDjdt
<br />-2+16fi rrrar r lrvc cra rrri3 appl,csnd ed 3l!& !h!r llc dov. inlom{io it c6.d I .sE ro .omrly *iln rl, City ed cou.tyr ordinece Md slll. kB (l.un8 ro buildin! cdlEucrid, dd h.Eby 6u6ori2. rcp.6.nlaivB of $i! City Dd Costy to ord upo. $.
<br />.bovc mmlim.d prop.,1y ftr inrpetio purporB
<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 />Roof Drain
<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 /1. q.; r'/k4-
<br />Final Gas Test
<br />Meter Release
<br />FINAL Q.//.2//'-flitplnr
<br />Notes, Remarks, Etc.
<br />APPROVALS
<br />lolica Nonb.r BxpiBr ----------------
<br />Lic . cld:_ Li.d. Numba _
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