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DATE lD/srG.
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<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 />lVlain Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />/Uv-Rough Plumbing L,11,07
<br />Final Gas Test
<br />Meter Release
<br />FINAL [,//tr/i'),4/2, ---
<br />Noles, Remarks, Etc.
<br />Ow-Buildg DeLE&n
<br />I hE.by .frrD udq pci.lty 0f pcrjury rbt I .a d.mPl fo.h rh. CoitrdoB' LicNc trw for thc fouowi!8 rooi G.c.?o3l 5 aui.6r
<br />rnd Profdrion Cod.) Ary Cny or Counly which rcquira . psmt to @rtud, .tq, isplov., d.rlolilh 6. rcprn sy ,hctuc, Fbr b nr
<br />ir!u@, .Lo ,.qun6 dE .pplioar for rlch pqan to ,llc . tisn.d r@nt tt t h. or 3h. ir licacd pmut b d. ,@vitioN of tlE
<br />Conor.tols Lied.d hw (Chrpre 9, C.hIftirS with S6rio. 7000 of Divnion 3 of th. Buins. .nd Profdliod Cod.) or rllr h. or
<br />fic it q.mpr lld!ftoh lnd lh! b..i! for 0E .llcB.d a.6prior Aiy viol ionofs@tion?031.JbyDylpplio for r,.mn Nbjcdr lt
<br />.ppliq ro. civil p.Elry of.or mr. thl. Iiv! hudr.d dolha (1500)
<br />_I, a omq of rhc popdry, o, o, c6ploy6 eirn u86 !! rh.L .oL @npcerio!\ will .lo th. m.t.nd rb. rt lctuc { @r a 6d.d
<br />or ofrs.d for $1.( 5*.7044. Burina! r.d Prol6lioN Cod.'Th! CorElco'! Li@e Lre dod f,or.rply to r. o9@ oI.n prop.ny
<br />who build! o, inprovs lhd..4 and who do.! tuch wort hi@.lfor n nlror drou$ hn o' h6 oM .hploycc!, provid.d thrt ,u.h
<br />irprcv.m.rB rc .or intmd.d o. offd.d for slc. Ii hoEv.r, Lll. buildins o, inpoEn i! lold *thii o.. ya of@nplaio4 tt.
<br />OM.FBuild.r will hlv. rh. blrd.n of provi.S thtr h. or !n. nor build or inprov. for ln. purpoE of !L)
<br />_1, a ownq ofrh. prop.rty, ro {clutiv.ly @nt!&1ir8 virh lic.Md coomcroa ro @Bt!d th. pbj*t ( S- ?oaa. Buinor.d
<br />P.of.,rion Codc Thc Conlr.c1oir Lietuc ku dod nol .pply 10 !n os.r ol p.opcny pho buildi or itnprov4 the@n , .nd who
<br />coturcB ror iuch prcj.c$ -nh r Co r!do(, licc.$d pu6wr to lhc Conu.cror'r Li@n!. tiw )
<br />_I .n n npr 6dd S.crion
<br />-B.
<br />& P.C. for rhn r6on
<br />EAB(!BI-C9!4I!N[ASAN!ECI,AEAII9!
<br />I h6.by lffih undd p.tulty ofpsjury o olth. followi,S dach ioNl
<br />_ll1tv.&dwillni dn!Cdlifid. of CoMrn!o s.r-l u. for slta'of,p.etiolr a p6vid.d for by S..iio.3?00 of$.
<br />trbor Cod., for tlE p6for&ric. oflh so* fo, e,irich dE pshn ir isrucd
<br />_l h!v. rnd will minhin wo d' @hp.Mion inlune, 6 r.qui.d by Scdion 3700 of rn kbor Cod., io, th. pqfomna of lh.
<br />wlich thi! Dqmt r isu.d My wort 6r' @6Dds&n tuult@ ffi &d policy nebq &c\ 3r;".(. -)
<br />V ,syrarc l l'L'l'o"?rno.*."*ffi oir..r- \
<br />_I @nify rhl in th. pdform.a of th. work lor whicn thii p.mit t ku.d, I !h!U .or mploy My !.Bon in iny tunnd o e ro
<br />b.6m. (bjd ro th. & d! @f,plision h$ ofcllifoh,4
<br />S$ffi::lc""**'*'6conp. nsatio. provis ion s ofS*tion lr0ooflh.l,bor Codq I shr
<br />--L:L-o'1 u* '*
<br />WA.RNIN6: Fdilurc b 3*ur. workdi @mp.B.rion
<br />fi.6 up @ onc hundrcd rhouond dolha {ll0O,00O),in
<br />.l1. bbo. Corl., int d ed fior..y3 f.d
<br />TS.-r r-
<br />@6g. L uLw6rl, Dd i{#bra m.nplorq !o eimi..l p lti6.nd cril
<br />.ddnion to dr con of @npcNrior! &o.gB u provu.d for lll.s.lrjon 1076 of
<br />&tcINl[D-qoNIMCI0EILDEClA&UrOtr
<br />I ha.by ifiirD &d{ p. hy ofp6jury lhrl I6li@tu.d 6d6 povilion ofchFd 9 (6mcrcin8 vin S*rion ?0oo) ofDivirion I of
<br />th. Buin.B lnd Plofa3io Cod., lnd ny lic.B. it i. tull for* od .6*a t'1905\q
<br />"o"**"'* ,{
<br />CONSTRUC'TTON LANDING AGENCY
<br />I h.r.b, dirm lndd p.Mhy ofp.rtury th.r rh.r. i! ! 6Bkudio. Lndins !s.n y for th. pdfomncc olth. lorr fo. whicn tni, p.rmn it
<br />i$u.d (S.c 3097, Civ. C )
<br />AIIIICANIjTDECIAIIAIION
<br />Dmolni.n Pdhia'Alb.n$ Nodfiorion F.dhl R.glhriod (rirh 40, P.n O
<br />_ Rlquir.d rrrr.t ofNotifi..tion
<br />_l eniry rur the ftd.ru I resullrione Egardhs sb.sros r.hohl 3c no! .pplioblc to $L proj..t
<br />_ I ..n,ry thlr I htv. r{d rnir +pliqrion hd ll!1! tur rh. lborc hfordtior i! 6r.d I rgrd to @Dply qni .ll Cny $rl County
<br />ordiE,c6 rnd St{. bu r.l in8 ro buildi.S codrrlctio., &d hE.by rulhori4 r.?r6.fl!riB oftlti! City.id Co6ty ro 6tB lpon $.
<br />5
<br />PLUMBING.INSPECTOR RECORD
<br />umb na-lnsp6clor R6@rd doc OA 31 06
<br />APPROVALS COMMENTS
<br />Area/Storm Drain
<br />Misc
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