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APPROVALS DATE tD/stG.COMMENTS OWTEI AULDEI DALCARATION <br />I h.dt .lTm unds FlXt of Fjury lhn I fr a6tp{ fiDh rh. Cotnr-ld Lao* Lrr for rh. followine laeo (Sa.?031,! <br />h!i6 !n PEft.ir C.d.): Any cI,6 Corry *tat rqsiB. Fnr ro @lI'tE. o. !rro\r. drm[tn or !q- -yt,lrrEr. Fin ro il! Lurq .lo Equiq rlt 4dirn for uct Fni ro frl. ! tftn lldatt rr.r lE or rh. ir licdE d Fntd <br />lo lh. Flviri6 of t!l. Cod.ara r Lt6t d Le {Ct ptn g. CoffitB *ith Sdbr 7000 ol Uvbior ! ot llE B.!iE -d?tDt b6 Cod.)olt. h.dtlE i qcnq. $6.f,sr.xlllEtGi! b.rlE.lLr.dqontlion. A.y rirhi,. ofsdhn ,011.t by&y <br />.fpli.dl tu.FEn bicr. rlr. .rplidr lo r civil pady of nor tuE firn fit. hui&.d d.UB (t5m) <br />-1. <br />. osG of th. FDFly, or my ctrpbr{r sln et8d B lh.t -k otrlFudion. witt do lh wi.n lli rntlc b 6l <br />ira'd.d 6 otu fr .L (sc-7lxt. BatE Dd Piofei'd c.& TIE Conr-ror'. Li6E t.r do€ ril +ply lo i orE of <br />ll,EFtf.ty *lE hit r d ilgoE !!a$ .n wb &6 e'l' wt f irBdrd hd*ll s llmuah hi. n lE orn arN,h)6. <br />Fovid.d lld r!.-t LDprwoEIr c lbl i.dd.d d o(E!d tr rt l( h.lrac, rlE llaldiB d imForqEr L -U wilfih m )dor6lpkh. t o.G arilb wil hE dE hr{6 otFnvit {r lt n iE did d hr{ c nv.nE dr F!Fr, ir rlE F,FGof <br />-L.4Goflh.FoFry. <br />r|n 4r!iv!1, cddry rith li.EE d cffi-rGro @lui4 ilE FDFI (Sc ?04.1. UliE <br />!i Flbin Cod.: Th. Conr-lor'r Lic.c Lr* 66 tur .rply ro & o*nn ot proFr, *lb boild! d improvd rlE@E <br />ed *to onrdt fc st FDi.d. pti . Co,fid(r li(q.d F un lo rn Conr*ls r U(!e L*). <br />len.\.nfl trndd Sdlion <br />lr.r. ()rn( <br />Iy.tBl(t:afll)ullj:s,tttQ-NotlLlaull,] <br />I hd.h) .llnn trnld tBnlr) of Fju!\ rn. olr[c n)lln\rn! ldli, i$o-l <br />bE d*ill Bic.b r Califi.r.of Ccr lo SdrlcG &. *qla odrdt ir! ,lD &d 6' by s-rhi l7o ol <br />t $or Codc fr dE Ftbllrc of rhc w,l b. *lich rf. Fht a hE d <br />I h.t. ud $ill did.h rorl6 .omFEdbn iBr.xc - r.q!it.d bt S<1ion r7m ot$. lltry ( od.. lor lE Ff(llrl!&Eot <br />llE wrt for whkh lhir pan n ixr.d. My u{.kd emFr.lkrn iMtr.. (uir irl tolicy nu'nbs tc: <br />_-l cllit th, inrLFblrllN olth erl d rhth rnir Fnn i! ir$.{ I rbll frr anploy o} Fe. in.., me6 <br />D llo h@G $lier !o llE mr6'mFErim L$ ol C.lilodia .nd +r lhd irl lbuld tE m Db6l lo rl! <br />*ort6' ompdE rk n FrvilioB of Sdion l7m of rh. Lltor Co&. I .lEll. lollh$irh .o'ntl) *nh lh.. prevniod <br />ro G hurd,ld rlFsrd &'116 llldr.mo), in rdahi<in lo rh. cd of onFcnbn. &n{6 a Fril.n fd th. <br />Serion !016 ofrh. Llhd ('o& itrrc.r !d rloEr'r lB <br />TEI'AAIIO! <br />I b!rt, .lED o.da pal, of Fi4 rh I G li..d <br />'dd.. FoviiD ofct Fa e (ffi!'s rlh sdar 7@ol of Divih I <br />of fi. A!!il... rd P!Di.io!. Cod., nd o, lcat. i t! tull for.c -d.tur. <br />cu'n.r r( <br />cq$tr8lclla!.L8lltl&.ac8Eta <br />I t6rtr dftn urda pady of F,ry dr nE i . on ldih bnit .Fry 6r llE Fhnrc oftlr Et hr ettn lnh Fd t <br />irr.d (S<. 10t7. Civ. C.I <br />aflu(AtlDr(1laal.&! <br />I nalby .n'm uild pdlL y ol Fjury or of rh. lollou ins d6l&.r ioE <br />E!tutlhn Ptun}Alndd NorifEni,i Fcds.l R.suLrioE (1nk lo, Prn6) <br />_R.quftd lnrd otf**if.dnn o <br />I (diI\ r)d lh. iddslr+uldioB r.ldrdm| $lsnB '.trr\rli'c norxtTl'.rl,lc r, rl'is lrtrBr <br />l.d'ryrhri I h.rc c.d rt's rrplicltrn rd ll!r.rhar th. ah,!. rntoiin.rion n corur lllrarocoflplt \nh lll(\r) i.rl('ou.ry <br />f',1'drtu6 rml Srric l.{r '.hr,n! r. tr,il(l'n! <br />&6\. MrilEd Frpdrr ftlr i6tErbn <br /> lp0dnr or Aadr Shutur.:K <br />vl vivtvK <br />.:q,-/)1 <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 Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P-trap/Drain Line <br />Main Drain/Pool Pipinq <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 />Meter Release <br />FINAL <br />Notes, Remarks, Etc <br />PLUMBING-INSPECTOR RECORD <br />I <br />I <br />I <br />Final Gas Test <br />liq7sm:kuql-,,. <br />l