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APPROVALS DATE rD/srG.COMMENTS <br />UNDER GROUND <br />Wasle & 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 Pi ptng <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOL/SPA <br />P-trap/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 I <br />nFINAL <br />Notes, Remarks, Etc. <br />OWNiT <br />'UTLDET <br />DEI./CAT TION . <br />I ltdrt, .fta 'ddd pady or Fjc, U. I - a.a( t@ dr C.d-|qr' Lic lry foi ltE blbsi! ,!-6 (s<.7oll.J <br />AoirE -d t otrbr Co<t ): Ar, Ciy r Cqlry Dtit FquiE . FEi ro coirlat .r-. iryorq .loolit o, ,q.i ry <br />dEr!!. Fi' ro a! iar&-.lo,r$ti! li. qdtd fu rin F6i lo 6L..tr.d rrad &. i.q lr i li.qr.d Fnrd <br />to tt! FwnE of tlE Coffir'. Licd 1* (Ct FE 9. Cci.a vit S-riD 700 of Divi.b! 3 of r|l. &!ii- lld <br />?n&.t8 Cod.)r0. h. d iE i a.qr dE!i@ !d rb bir for O. dtacd q.4tie Aly vbLbn of sdit m! I 5 ty d, <br />.pplid 6. . FDi $tjcu 0E qtsn ro r c ilpdlyofer lDctbr 6w Lr'(H.bIj (1500). <br />-1.! <br />o*Eof rt Fopdrt. d oy snpbra *hh *.ra 6 drn !k dn d.ior! *i! & llE *qt Dd lh. riatr b El <br />lrcxLd @otu d for uL (Se.70a4. AuiE Dd Pro[iBi,6 Co&r tlE Codrtrdt Li@ lry &JB Fr fply ro & o*c of <br />thcFoFry wlE hild or inprcd fiao[ rd who <b6 rdr srt hi@lf or haallor rkolAh hi. or h6 om ctrpby.... <br />Flvid.d thr ar.lt iDFDvo,Eit e br irad.d d oEld 6r -t lt lDw. 0t hddnt ot tiFo€Er |r sld wiie @ )d <br />of@Ipl6irl. dr O.E Bdlk 'i! llw |tt bnb olFlviB U. h. d i. dil ml bd.l c hqlE ltE FrFry 6. dE FrI* of <br />l. ! 6.E ofrE FlFry. a aclriEly .od.6i!a sii li@.d @o8o.i ro ..drl*| rb FDj.{ (sa tua. EliE <br />nd trDtdn co.b: Tb. con -to . Lia* ln .b6 6r sl, to - otc otFoD.i, rio t{it L d i@@q tlEEo. <br />&d *lD @dE t6 r.i Fi.r. *in. CodE (r)MF !- ro rbcoffid r Lir 1n). <br />-l <br />o ...nd 'rrld S..rbL <br />I h6.t,.mrm und6 Fn tyolFjury onc otlh. tolbwing <br />_l h.w -d will dir.i!. carift.rc of corer lo sdf'I!!e tu wt6 NnF!.bo. . povi.L.l fu bysBrior !?00 ofrh. <br />rrtd Co4 61 6. FfEEe. of tl!. 6t h etit rh. FDi ir iEEd. <br />-t hdr rod ,ill rrir& rsta' coqd..io! iE'.G. . rqoird by Sern lrm otl[. L!o. c.& ft. u. Fft.lEt of <br />0r wt fo. rti.6 $i r6Dir i i.d M, Eto'oqd.b! ire E d roli, rrEtq E <br />I cElrt thd in th. pqfolmnc.oarh. wort tu $hth rhs Fnit s ku.rl. | !n!! nor @phy uy ps$n in aiy.re6 <br />x' .r ki b.oe iubjdl to thc "{lt6 (omp.Nd6n l&a of C,trfnm'a. ed +B rhd rrl lhul'i tE.ru 3ubjct lo llE <br />sort6' .omltur io. FolirioB of sdion 17(x) ol rh. r4or ( oda I shrll n'nhsilh ..ntly with rk,F pmvtnrnr.. <br />6ivn ia !p ro @ hrrhd rto@.d dollrt (tlm.o@). i! <br />s6ti.6 3076 of rb t^&r coda i!*. -d nocrl fta <br />! lGitr .rlfr o,& pa.ty.f Frwy $. I d lid!.d '!&of dr BEir rd ADtu irB Cod.. tn Ey lic ir h tull foG .d cfidl <br />I (c*.Nu rlxr <br />COIEIIIICIIOaIADIiC.|CIIEI <br />I H, dr6u& F.ryof Fju, lrr lbr L. codt b.laihalE, h tL FC.tu of rb 6t ft. rii.i rb FDt i <br />iEl (Sc. !0t7. qr. c.). <br />LdtNc <br />L.!d..! Addrr _ <br />attucaNfDt(Irtaua! <br />I hs.lry lrm unds p6!hy ol lql$y on. of lnc nn['* in! &( lsal'onr] <br />l)onohion P6nnyA!b6!o! Norinclion f.n6il R.{uhiions (Tnl. 40. P!n6) <br />R.qurcrl lrr6 orNd,frdiln <br />I .-rif, th. ln ftda.l E8!Li6 rlr.d!{ -tdc lqmvd e Nl .fplE.6k L thi' FoFi <br />- _l c6(& lr I lrv. dd rhi sli.ir.nd.rr. d[ dE.boE irfonnrd a.ntr I {E ro @n+ly *rl.I Ci, !d coul! <br />orthi Cl, -d Cqdy ro d< ,+or tlE <br />^,,ruf-1q-/7 <br />I <br />frV,rir.A' <br />PLUMBING.INSPECTOR RECORD <br />I <br />"* re ///- + <br />,\pprld or,trotshMlurcl + <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I