|
APPROVALS DATE ID/SIG.COMMENTS OWNES 8U!]'EN DEITAT TION
<br />I lE!t, .,Iio uda Farry ol FrEr fir I d d6F lon rh. Colr.-r6 LiqE lr* tor rlE folreiB !a)n (Sc. r0ll.5
<br />Buti6 !n Prnfr,.ion Cod.): A!, Ciy or Co y ehich !.q{t6 . Fri ro @drud. .hd, imFola (tltullh or qri oy
<br />tIi{lur. Fb.lo h! bdc & r.$i6lh. {9li..d br sh Fni b frL.3bi.d fiffir rhr h.or tlE h lko!.d ,tEd
<br />ro tlr FvitiE ot rh Co'nrsrd r Lid Lr* (ft$a 9. Coffiiig wih Sl.lion 70(x) ol Dirbbn I (f lh BBi6 .rd
<br />hoftrioi, Cod.) or rh! lEd{r i d6!$ tlElimad rlE bds fd tn r[.xcd qoPlbi. Any vi,tlrion ols.dnn 70!1., b, D,
<br />rprlt .d lor. Fni obelt rlE {pliol(o r ciril roly olDl mE lhr fir. hurd &Ur. ($m)
<br />-1.
<br />6 o{c oftlE Fordrn 6 ny arpklr€ vni *196 6 tl'.ir $L .oqdrhl! *ill & r *st td rlE t.nrrG i! rbl
<br />inqd.d d otu tu !.h (S!..7lXa. Bai!6 &d Piofatr Co&r TIE Coix.rro. t-k.e t s &,6 rlr.pPly l. u onB of
<br />0.F d, *60 hili' d irylq dEq d rto 6- idr Et hi'rlf q l'-!dls lhD{rsh hn or ia N. dtpl.rc
<br />!.oriLd $d .u.n iiFordGr. G d ardH dotrnd &( rL l[ lb*6q. D. hlaBi,r d hF.sGEn i -ld xihh d ]c
<br />of@rpLtia tlE O*c tuild. wi[ hrE tL hd.n of F.viB $r L or Cr dn er bq'ld q nipNE ln. FFFIy tu llt FlrFi ot
<br />-1..o*Mofrn
<br />FoFry.6.rcluiv.l, oir.xri'B *th li6!.d @drrl6loslrrMl llt tmiki (s< ?ora, Br.iiE
<br />!n AElir Co&: ltE Co .-ror'. Lic.u lrw &6 ml @lt lo & os6 .f FoFry eh6 t{ild. N imFlv6 ths6[
<br />.!d wto om-t.6.rEt FDi!.*itrcffidlo li@.d Fl,ld brlncdn*1( ! lj.!E lfrl
<br />I m crop udo Sction
<br />D.t.: o.trn
<br />la8f,Elli:(qatlEllAuo!lloJaa.rlt !
<br />I IEEb, .rm oids p@!, of Fjlry oE of lt hlLsiry &.LrlbNl
<br />O-l
<br />h.vc.n w ial.in. Cqrifsn. otco'lan ro Sdf-ld@ tm vortd erFsiht! s lroliLd tor by salhi 17m ol
<br />t b. C.d.. to $. Ffo.!rc ofdE Et 6. ulit dr FEi ir iEd
<br />I h.v..nd *illuinrli. w.rt6 snp. lioni ul*., a t.quiEd h! S.(l ior !71)o of lh. hh.r codc. for lh. pdtolffi. of
<br />tlE srt ft, *tth rlir Fnir a iE .d M, *nt6 onFldir iem. 6ir ri Fli.y nlnts o.
<br />-
<br />I .6iiry rh.r ii rhordfo@ olrh. Mrr tu sibt rnir Fni i. ie.d I rhlll tun dnploy .nr p6sn i. .ry mi.ns
<br />- -iot<.Gdicl t rlE wL.lorp.tlrbr Lsofcdift'mir.n tG rhr ilI thuld t (!G $t*rl lo lh.
<br />6rtd' (.tr9olibr Fvi.iB ols<rih ,7m of rlE t bor co<E I cdl lhnh$ifi @r9ly wih rlFr Flviti6
<br />civil 66 up ro @ hund rho@,n &,llrt tllm.oml ioi ro rlE o, .f conpd.rior dn@s6 6 F.nd.d 61 0'.
<br />SNrio 1016 olrlE lalu (ild., inrod ind ano,n.r's 21rD
<br />TS:!..8AIIOB
<br />I tadr rftE 'r& Dary orFir, 0. I d tdEGd '!& Fvibn of chFc e (<!!!Grur wtt Sclbi ,qx)l or Diviitr ,
<br />of lt. B{nE nd rrolt b- Cod., d o, ltc i b tul &r a.l.lkd.
<br />cot a!]lJll)!-Ll:tDt!ti-Acl:l(r
<br />Ihdd', lmrm uBrd rE !h).fFju^ rh lhs. rn coniDdirn tqj'ns r!n\ n"rh.Ftu'nnfr.olrrk(o'l rd {r,(hrhirFni it
<br />$!.d lliR :r(nr.( n C )
<br />A?IUCAdI.DEOJSAIIQ!
<br />I Mr.lib ue ,a.ly of Fi6, c ol tlE follo*ila .trhridl
<br />Dablfthn Pmil}Arbdo. t{orifrdb. P6d6.l R.guhrbo OnL a0, Pm6)
<br />-Lqlild
<br />Ldrd ol Nnihh.
<br />, .sliry fit lhc Ldai t tuLlhE !E rdiIl Bt nor rmovll t. .oi 4,r t!bl rd lhn Fnjdl o
<br />-;ffim **""',).l-r1roTe-
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouqh Waler Heater
<br />POOUSPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<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
<br />FINAL /L414/6 )
<br />PLUMBING.INSPECTOR RECORD
<br />,",,-";";,ffYptffi*
<br />UNDER GROUND
<br />I
<br />I I
<br />tnE
<br />Notes, Remarks, Etc.
<br />I
<br />II
<br />t
|